# ADVANCED OB-GYN OF MICHIGAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699004226
- **Authorized official:** DR. DESPINA WALSWORTH M.D. (C.E.O.)
- **Authorized official phone:** (248) 345-5201

## Contact information

- **Practice address:** 18400 FARMINGTON RD, LIVONIA, MI 48152-3588
- **Practice address phone:** (248) 471-9570
- **Practice address fax:** (248) 471-9603
- **Mailing address:** 26680 ROSE HILL DR, FARMINGTON HILLS, MI 48334-4572
- **Mailing address phone:** (248) 345-5201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/10/2009
- **Last updated:** 02/26/2012