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

Michigan Cosmetic & Reconstructive

Organization Plastic Surgery Physician · NPI 1699805556

Michigan Cosmetic & Reconstructive is a Plastic Surgery Physician in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
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Practice location Address checks out

30603 Southfield Rd
Southfield, MI 48076-7729
Phone: (248) 540-1900
Fax: (248) 767-8706
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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 · Licence 4301082433 (MI)

Record details

NPI number1699805556
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mariam Awada — Owner · (248) 540-1900
NPI enumeratedMarch 7, 2007
Last updated in NPPESApril 20, 2008
Mailing address30603 Southfield Rd, Southfield, MI 48076-7729

Other providers in Southfield