MISS Nina Rae Livermore, MD

NPI #1215562392 in Grand Rapids, Michigan

Provider Information

NPI Number: 1215562392
Entity Type: Individual
Name: MISS Nina Rae Livermore, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Plastic Surgery
Credential: MD
Enumeration Date: Mar 9, 2020
Last Updated: Apr 2, 2025

Practice Location

Address: 275 MICHIGAN ST NE FL 9
City: Grand Rapids
State: Michigan
ZIP Code: 49503-2531
Phone: (616) 391-6243

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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