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General NPI Number Information
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NPI Number | 1346484367
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Entity Type | Organization
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Legal Business Name | COSMETIC AND PLASTIC SURGERY OF MICHIGAN PC
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Dates
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Enumeration Date | 04/21/2009
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Last Update Date | 04/21/2009
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Provider Practice Location Address
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Address Line | 2680 LEONARD ST NE STE 4
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City | GRAND RAPIDS
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State | MI
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Zip | 49525-6902
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Country | US
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Telephone | 616-588-2277
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Fax | 616-328-8439
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Provider Business Mailing Address
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Address Line | 2680 LEONARD ST NE STE 4
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City | GRAND RAPIDS
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State | MI
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Zip | 49525-6902
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Country | US
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Telephone | 616-588-2277
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Fax | 616-328-8439
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. STEVEN RINGLER
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Credential | M.D.
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Telephone | 616-588-2277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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