Individual
DR. MICHAEL N DESVIGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6320 W. UNION HILLS DR, BLDG A, STE 140, GLENDALE, AZ 85308
(480) 471-8700
(480) 588-3795
Mailing address
6320 W. UNION HILLS DR, BLDG A, STE 140, GLENDALE, AZ 85308
(480) 471-8700
(480) 588-3795
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
G70657
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
35062
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111684
—
AZ
Enumeration date
09/15/2005
Last updated
02/06/2024
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