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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

Other

Enumeration date
12/10/2009
Last updated
02/26/2012
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