Unknown Individual – Plastic Surgery Physician, NPI 1770529232
Plastic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Southfield Road, Detroit, Wayne County, Michigan, 48075:48235, United States
SOUTHFIELD, MI 480767729
Phone: (248) 355-9911
Fax: (248) 355-9961
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48076)
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