IndividualActive
Michael Desvigne, M.D.
NPI 1356336317 · Plastic and Reconstructive Surgery Physician · Glendale, AZ
Provider details
- NPI number
- 1356336317
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- G70657 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
6320 W. Union Hills Dr, Bldg A, Ste 140
Glendale, AZ 85308
Phone: (480) 471-8700
Fax: (480) 588-3795
Approximate (ZIP-level) locationGet directions
Mailing address
6320 W. Union Hills Dr, Bldg A, Ste 140
Glendale, AZ 85308
Registry dates
- Enumerated
- 2005-09-15
- Last updated
- 2024-02-06
- Certified
- 2024-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.