Michigan Cosmetic & Reconstructive

LBN: Michigan Cosmetic & Reconstructive
Michigan Cosmetic & Reconstructive is an health care organization with primary practice located at 30603 Southfield Rd , Southfield MI 48076-7729. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Michigan Cosmetic & Reconstructive can be contacted via phone (248) 540-1900, or through Awada, Mariam H via phone (248) 540-1900.

Contact Information

Primary practice address
30603 Southfield Rd Southfield MI 48076-7729
Phone: (248) 540-1900
Fax: (248) 767-8706
Website:
Map and Directions
Authorized official contact:
Name: Awada, Mariam H Doctor of Medicine (MD)
Phone: (248) 540-1900

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 4301082433 Michigan

Profile Details

NPI number 1699805556
LBN Legal business name Michigan Cosmetic & Reconstructive
DBA Doing business as
Authorized official Awada, Mariam H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Apr 20th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699805556 NPPES
Massachusetts Other 4301082433 STATE LICENSE

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