Grand Rapids Plastic Surgery Plc
NPI #1184815417 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1184815417
- Entity Type
- Organization
- Organization Name
- Grand Rapids Plastic Surgery Plc
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Aug 1, 2007
- Last Updated
- Aug 1, 2007
Practice Location
- Address
- 426 MICHIGAN ST
- Address 2
- STE 300
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49503-5609
- Phone
- (616) 454-1256
Authorized Official
- Name
- SCOTT R BRUNDAGE, MD
- Title
- MEMBER
- Phone
- (616) 454-1257
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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