Theodore A. Wizenberg, M.D.,P.C.
LBN: Theodore A. Wizenberg, M.D.,P.C.
Theodore A. Wizenberg, M.D.,P.C. is an health care organization with primary practice located at 23901 Lahser Rd , Southfield MI 48033-6035. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Theodore A. Wizenberg, M.D.,P.C. can be contacted via phone (248) 357-3360, or through Wizenberg, Theodore A via phone (248) 661-9125.
Contact Information
Primary practice address
23901 Lahser Rd
Southfield MI 48033-6035
Phone: (248) 357-3360
Fax:
Website:
Authorized official contact:
Name: Wizenberg, Theodore A Doctor of Medicine (MD)
Phone: (248) 661-9125
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | TW038081 | Michigan |
Profile Details
| NPI number | 1821043399 |
|---|---|
| LBN Legal business name | Theodore A. Wizenberg, M.D.,P.C. |
| DBA Doing business as | |
| Authorized official | Wizenberg, Theodore A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Oct 23rd, 2007 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821043399 | NPPES |
| Michigan | Other | A77757 | HAP |
| Michigan | Other | 113381 | HAP |
| Michigan | Other | 1106338231 | HAP |
| Michigan | Other | 200089 | HAP |
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