Great Lakes Plastic Surgery Center

LBN: Great Lakes Plastic Surgery Center
Great Lakes Plastic Surgery Center is an health care organization with primary practice located at 5085 Anna Dr , Traverse City MI 49684-9691. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is the primary health care specialty. Great Lakes Plastic Surgery Center can be contacted via phone (231) 935-0180, or through Francis, Catherine S via phone (231) 935-0180.

Contact Information

Primary practice address
5085 Anna Dr Traverse City MI 49684-9691
Phone: (231) 935-0180
Fax: (231) 935-0099
Website:
Map and Directions
Authorized official contact:
Name: Francis, Catherine S
Phone: (231) 935-0180

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1972795334
LBN Legal business name Great Lakes Plastic Surgery Center
DBA Doing business as
Authorized official Francis, Catherine S
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2007
Last updated Aug 18th, 2009 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972795334 NPPES
Michigan Other 4301067433 STATE LICENSE
Michigan Other 2402810821 STATE LICENSE
Michigan Other 1285614032 STATE LICENSE
Michigan MEDICAID 4156180 STATE LICENSE
Michigan Other 4704192319 STATE LICENSE
Michigan Other 1437139318 STATE LICENSE
Michigan MEDICAID 3495242 STATE LICENSE
Michigan Other 5008762590 STATE LICENSE

Popular Providers