Organization
BIRMINGHAM COSMETIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAI ROUCHDI MD (OWNER)
(248) 723-9370
Entity
Organization
Contact information
Practice address
30603 SOUTHFIELD RD, SOUTHFIELD, MI 48076-7729
(248) 723-9370
(248) 723-9687
Mailing address
30603 SOUTHFIELD RD, SOUTHFIELD, MI 48076-7729
(248) 723-9370
(248) 723-9687
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301047649
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301047649
STATE LICENSE
MI
Enumeration date
03/07/2007
Last updated
03/07/2023
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