Organization Name: | RENAISSANCE PLASTIC SURGERY, P.C. |
NPI Number: | 1134278401 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM A STEFANI (OWNER) |
Mailing Address: | 21000 E 12 Mile Rd Saint Clair Shores |
State: | MI US |
Postal Code: | 480811116 |
Phone Number: | 5867793030 |
Fax Number: | 5867796733 |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 07/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |