Organization
GREAT LAKES PLASTIC SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHERINE S FRANCIS (MEDICAL BILLER)
(231) 935-0180
Entity
Organization
Contact information
Practice address
5085 ANNA DR, TRAVERSE CITY, MI 49684-9691
(231) 935-0180
(231) 935-0099
Mailing address
5085 ANNA DR, TRAVERSE CITY, MI 49684-9691
(231) 935-0180
(231) 935-0099
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285614032
NPI
MI
01
—
1437139318
NPI
MI
01
—
2402810821
BLUE CROSS BLUE SHIELD MI
MI
05
—
3495242
—
MI
05
—
4156180
—
MI
01
—
4301067433
STATE LICENSE
MI
01
—
4704192319
STATE LICENSE
MI
01
—
5008762590
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
08/09/2007
Last updated
08/18/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us