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

Elizabeth Elaine Bushong

Individual provider Plastic Surgery Physician · NPI 1215630454

Elizabeth Elaine Bushong is a Plastic Surgery Physician in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2023

Practice location Address checks out

275 Michigan St NE Fl 9
Grand Rapids, MI 49503-2531
Phone: (616) 391-6243
Show map & directions

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

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 4351052917 (MI)

Record details

NPI number1215630454
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 27, 2023
Last updated in NPPESMarch 8, 2025
Certification dateMarch 8, 2025

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