Individual provider · Type 1 NPI
Michael N. Desvigne, MD
Plastic and Reconstructive Surgery Physician · Glendale, AZ
NPI number
1356336317
Active
Practice location
6320 W. Union Hills Dr, Bldg A, Ste 140
Glendale, AZ 85308
Fax (480) 588-3795
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic Surgery Physician | 208200000X | G70657 (CA) |
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 35062 (AZ) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
Other plastic and reconstructive surgery physician providers in Glendale
About NPI 1356336317
Michael N. Desvigne, MD's National Provider Identifier is 1356336317, issued on Sep 15, 2005. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Glendale, AZ. The record was last updated on Feb 6, 2024.