Western Reserve Plastic Surgery

NPI #1912086240 in Independence, Ohio

Provider Information

NPI Number: 1912086240
Entity Type: Organization
Organization Name: Western Reserve Plastic Surgery
Primary Specialty: Plastic Surgery
Enumeration Date: Nov 6, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 5005 ROCKSIDE RD
Address 2: #640
City: Independence
State: Ohio
ZIP Code: 44131-2194
Phone: (216) 328-0800

Authorized Official

Name: GEORGE J PICHA, MD
Title: CEO
Phone: (216) 328-0800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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