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

Michigan Cosmetic & Reconstructive Surgery PLLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1902072952

Michigan Cosmetic & Reconstructive Surgery PLLC is a Plastic and Reconstructive Surgery Physician in Southfield, Michigan. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

29110 Inkster Rd Ste 250
Southfield, MI 48034-1098
Phone: (248) 948-5500
Fax: (248) 948-8085
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1902072952
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mariam Awada — President · (248) 948-5500
NPI enumeratedApril 30, 2008
Last updated in NPPESApril 30, 2008
Mailing addressPo Box 673053, Detroit, MI 48267-3053

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