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

Grand Rapids Plastic Surgery PLC

Organization Plastic Surgery Physician · NPI 1760654602

Grand Rapids Plastic Surgery PLC is a Plastic Surgery Physician in Grand Rapids, Michigan. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

2060 E Paris Ave SE Ste 150
Grand Rapids, MI 49546
Phone: (616) 454-1256
Fax: (616) 454-0308
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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 number1760654602
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carol Fewless — Practice Administrator · (616) 454-1256
Other names Centre For Plastic Surgery
NPI enumeratedApril 1, 2008
Last updated in NPPESJuly 31, 2013
Mailing address2060 East Paris Ave Se, Suite 150, Grand Rapids, MI 49546

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