Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Advanced Plastic Surgery, PC

Organization Plastic Surgery Physician · NPI 1255003893

Advanced Plastic Surgery, PC provides Plastic Surgery Physician services in Grand Rapids, Michigan. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3855 Burton St SE Ste A
Grand Rapids, MI 49546-6147
Phone: (616) 323-3102
Fax: (616) 323-3061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1255003893
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ewa Komorowska-Timek — Physician Owner · (616) 323-3102
NPI enumeratedOctober 1, 2021
Last updated in NPPESOctober 1, 2021
Certification dateSeptember 15, 2021
Mailing address3855 Burton St Se Ste A, Grand Rapids, MI 49546-6147

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