Organization
MICHIGAN COSMETIC & RECONSTRUCTIVE SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAM AWADA MD (PRESIDENT)
(248) 948-5500
Entity
Organization
Contact information
Practice address
29110 INKSTER RD, STE 250, SOUTHFIELD, MI 48034-1098
(248) 948-5500
(248) 948-8085
Mailing address
PO BOX 673053, DETROIT, MI 48267-3053
(248) 948-5500
(248) 948-8085
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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