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Organization
ADVANCED OB-GYN OF MICHIGAN
Active
Organization
ADVANCED OB-GYN OF MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DESPINA WALSWORTH M.D. (C.E.O.)
(248) 345-5201
Entity
Organization
Contact information
Practice address
18400 FARMINGTON RD, LIVONIA, MI 48152-3588
(248) 471-9570
(248) 471-9603
Mailing address
26680 ROSE HILL DR, FARMINGTON HILLS, MI 48334-4572
(248) 345-5201
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
12/10/2009
Last updated
02/26/2012
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