Advanced OB-GYN of Michigan

Organization Active NPI Obstetrics & Gynecology Physician · Livonia, MI

NPI 1699004226 · NPPES record last updated Feb 26, 2012

Key facts

NPI
1699004226
Entity type
Organization (NPI type 2)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
Legal business name
ADVANCED OB-GYN OF MICHIGAN
Practice address
18400 Farmington Rd
Livonia, MI 48152-3588
Phone
(248) 471-9570
Fax
(248) 471-9603
NPI assigned
Dec 10, 2009
Organization subpart
No

Authorized official

Name
Dr. Despina Walsworth, M.D.
Title
C.E.O.
Phone
(248) 345-5201

National Provider Directory

Locations

18400 Farmington Rd
Livonia, MI 48152
Phone (248) 471-9570

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207V00000X Yes

Addresses

Primary practice location

18400 Farmington Rd
Livonia, MI 48152-3588

Mailing address

26680 Rose Hill Dr
Farmington Hills, MI 48334-4572
Phone (248) 345-5201

Other providers in Livonia, MI

All providers in Livonia, MI · Obstetrics & Gynecology Physician in Michigan

Sources for this page

Verify at the official NPI Registry.