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
Phone: (248) 751-7246
Fax: (248) 418-2311
Website:
Health care specialties
| Specialty | Code | License # | 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 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871561654 | NPPES |
| Michigan | MEDICAID | 1871561654 |
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