Unknown Individual – Plastic Surgery Physician, NPI 1750311650
Plastic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3533, Southern Boulevard, South Dale, Kettering, Montgomery County, Ohio, 45429, United States
SUITE 4400
KETTERING, OH 45429
Phone: (937) 294-9255
Fax: (937) 294-9256
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)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45429)
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