Organization
OMNIVERSE PLASTIKOS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARNO RENE SCHLEICH MD (PRESIDENT)
(601) 824-1492
Entity
Organization
Contact information
Practice address
14 PROFESSIONAL PKWY, SUITE C, RIDGELAND, MS 39157-4190
(601) 824-1492
Mailing address
1888 MAIN ST, SUITE C, #272, MADISON, MS 39110-6337
(601) 824-1492
Taxonomy
Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
20023
MS
2086S0105X
Surgery of the Hand (Surgery) Physician
20023
MS
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
20023
MS
Other
Enumeration date
07/29/2009
Last updated
12/20/2010
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