Individual provider · NPI-1

Dr. Jeffrey Thomas Desano II, D.O.

Plastic Surgery · West Bloomfield, MI

NPI number1891108759
StatusActive
Last updated in NPPESNov 25, 2025

Details

NPI
1891108759
Entity type
Individual (NPI-1)
Name
Dr. Jeffrey Thomas Desano II
Credential
D.O.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 9, 2014
Certification date
Nov 25, 2025
Last updated
Nov 25, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208200000X Plastic Surgery5101021136MIYes
208600000X Surgery5101021136MI

Practice location

5807 W Maple Rd Ste 177
West Bloomfield, MI 48322-4483

Phone 248-865-6400 · Fax 248-865-6404

Mailing address

5807 W Maple Rd Ste 177
West Bloomfield, MI 48322-4483

Phone 248-865-6400 · Fax 248-865-6404

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