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Theodore Wizenberg, M.D
NPI 1932102423 · on the registry since 2005 · sole proprietor
Practice
- Address
- 23901 Lahser Rd
Southfield, MI 48034 - Phone
- (248) 357-3360
- Organisation at this address
- Aegis Anesthesia, Plc
Richard S. Frank, Md, Plc
Theodore A. Wizenberg, M.D.,P.C.
Laboratory Corporation Of America
Straith Hospital For Special SurgeryInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Registry record
- Primary taxonomy
- Internal Medicine Physician
207R00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-10-23
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