Search › Michigan › Colon & Rectal Surgery Physician
Edwin Itenberg, D.O
NPI 1255508487 · on the registry since 2008 · sole proprietor
Practice
- Address
- 16001 W 9 Mile Rd
Fisher Building 3rd Floor
Southfield, MI 48075 - Phone
- (248) 849-6030
- Fax
- (248) 849-6039
- Organisation at this address
- Aleppo Pllc
St John Health
Psj Anesthesia Pc
Providence Hospital
Providence HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 483
Registry record
- Primary taxonomy
- Colon & Rectal Surgery Physician
208C00000X
- Also registered as
- Surgery Physician
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-12-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan