Great Lakes Plastic Reconstructive & Hand Surgery P C

NPI #1336335785 in Portage, Michigan

Provider Information

NPI Number
1336335785
Entity Type
Organization
Organization Name
Great Lakes Plastic Reconstructive & Hand Surgery P C
Primary Specialty
Plastic Surgery
Enumeration Date
Sep 19, 2007
Last Updated
Apr 17, 2013

Practice Location

Address
7971 MOORSBRIDGE RD
ZIP Code
49024-4075
Phone
(269) 329-2900

Authorized Official

Name
DR. RAGHURAM G ELLURU
Title
MANAGING PARTNER
Phone
(269) 329-2900

Specialties & Taxonomy Codes

Specialty
Plastic Surgery

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