Provider Demographics
NPI:1346484367
Name:COSMETIC AND PLASTIC SURGERY OF MICHIGAN PC
Entity Type:Organization
Organization Name:COSMETIC AND PLASTIC SURGERY OF MICHIGAN PC
Other - Org Name:CENTER FOR AESTHESTICS AND PLASTIC SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:RINGLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:616-588-2277
Mailing Address - Street 1:2680 LEONARD ST NE STE 4
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49525-6902
Mailing Address - Country:US
Mailing Address - Phone:616-588-2277
Mailing Address - Fax:616-328-8439
Practice Address - Street 1:2680 LEONARD ST NE STE 4
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49525-6902
Practice Address - Country:US
Practice Address - Phone:616-588-2277
Practice Address - Fax:616-328-8439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty