Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Plastic Surgery, PC

Organization Plastic Surgery Physician · NPI 1255003893

Advanced Plastic Surgery, PC is a Plastic Surgery Physician 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
Show map & directions

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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