Desvigne, Michael N

Desvigne, Michael N is an individual health care provider with primary practice located at 6320 W. Union Hills Dr, Bldg A, Ste 140 , Glendale AZ 85308. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Desvigne, Michael N can be contacted via phone (480) 471-8700.

Contact Information

Primary practice address
6320 W. Union Hills Dr, Bldg A, Ste 140 Glendale AZ 85308
Phone: (480) 471-8700
Fax: (480) 588-3795
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X G70657 California
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 35062 Arizona

Profile Details

NPI number 1356336317
LBN Legal business name Desvigne, Michael N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Feb 6th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356336317 NPPES
Arizona MEDICAID 111684

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