Wittenberg, Marc I

Wittenberg, Marc I is an individual health care provider with primary practice located at 799 Denison Ct Fl 2 , Bloomfield Hills MI 48302-0053. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Wittenberg, Marc I can be contacted via phone (248) 751-7246.

Contact Information

Primary practice address
799 Denison Ct Fl 2 Bloomfield Hills MI 48302-0053
Fax: (248) 418-2311
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X MW058094 Michigan

Profile Details

NPI number 1871561654
LBN Legal business name Wittenberg, Marc I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Feb 23rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871561654 NPPES
Michigan MEDICAID 1871561654

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