Provider Demographics
NPI:1265554216
Name:WALSWORTH, DESPINA ZEFIRAS (MD)
Entity type:Individual
Prefix:DR
First Name:DESPINA
Middle Name:ZEFIRAS
Last Name:WALSWORTH
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3601 W. 13 MILE ROAD 400 FSC
Mailing Address - Street 2:PHYSICIAN CONTRACT SERVICES
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073
Mailing Address - Country:US
Mailing Address - Phone:248-423-2410
Mailing Address - Fax:248-423-2576
Practice Address - Street 1:17940 FARMINGTON ROAD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152
Practice Address - Country:US
Practice Address - Phone:248-423-2410
Practice Address - Fax:248-423-2576
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2024-09-27
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Provider Licenses
StateLicense IDTaxonomies
MI4301082367207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology