OrganizationActive
A and G Aesthetics PLLC
NPI 1194918789 · Surgery Physician · West Bloomfield, MI
Provider details
- NPI number
- 1194918789
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Ashley Desantis, Director of Operations
Practice location
7125 Orchard Lake Rd
Suite 120
West Bloomfield, MI 48322-3615
Phone: (248) 855-5355
Fax: (248) 855-5455
Mailing address
7125 Orchard Lake Rd
West Bloomfield, MI 48322-3615
Registry dates
- Enumerated
- 2007-08-27
- Last updated
- 2025-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.