Plastic Surgery of Kalamazoo,pc

NPI #1245452481 in Portage, Michigan

Provider Information

NPI Number: 1245452481
Entity Type: Organization
Organization Name: Plastic Surgery of Kalamazoo,pc
Primary Specialty: Specialist
Enumeration Date: May 3, 2007
Last Updated: Jul 21, 2022

Practice Location

Address: 7901 SOUTH 12TH STREET
Address 2: SUITE 100
City: Portage
State: Michigan
ZIP Code: 49024
Phone: (269) 372-3000

Authorized Official

Name: MRS. ROSE M JOHNSON
Title: MANAGER, PATIENT ACCOUNTS
Phone: (269) 372-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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