Plastic Surgery Consultants, P.c.
NPI #1578551065 in Belleville, Illinois
Provider Information
- NPI Number
- 1578551065
- Entity Type
- Organization
- Organization Name
- Plastic Surgery Consultants, P.c.
- Primary Specialty
- Plastic Surgery
- Enumeration Date
- Oct 10, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4600 MEMORIAL DR
- Address 2
- MEDICAL OFFICE BUILDING 2 - SUITE 320
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62226-5366
- Phone
- (618) 257-2100
Authorized Official
- Name
- ROBERT C. WANLESS, M.D.
- Title
- PRESIDENT
- Phone
- (618) 257-2100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Plastic Surgery |
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