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

Plastic Surgery Specialists, PLLC

Organization Plastic Surgery Physician · NPI 1194979039

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

Licensed in
MI
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

2060 E Paris Ste 110
Grand Rapids, MI 49546
Phone: (616) 826-0374
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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 4301061751 (MI)

Record details

NPI number1194979039
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Livingston — Owner · (616) 826-0374
NPI enumeratedNovember 5, 2008
Last updated in NPPESNovember 5, 2008
Mailing address2060 E. Paris, Suite 110, Grand Rapids, MI 49546

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