| Theodore A. Wizenberg, M.d.,p.c. | |
|
23901 Lahser Rd Southfield MI 48033-6035 | |
| (248) 357-3360 | |
| Not Available |
| Full Name | Theodore A. Wizenberg, M.d.,p.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 23901 Lahser Rd, Southfield, Michigan |
| Authorized Official Name and Position | Theodore A Wizenberg (PRESIDENT) |
| Authorized Official Contact | 2486619125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore A. Wizenberg, M.d.,p.c. 31151 Westwood Rd Farmington Hills MI 48331-1471 Ph: (248) 661-9125 | Theodore A. Wizenberg, M.d.,p.c. 23901 Lahser Rd Southfield MI 48033-6035 Ph: (248) 357-3360 |
| NPI Number | 1821043399 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 10/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821043399 | NPI | - | NPPES |
| A77757 | Other | MI | HAP |
| 113381 | Other | MI | CARE CHOICE |
| 1106338231 | Other | MI | BCBS |
| 200089 | Other | MI | TOTAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | TW038081 (Michigan) | Primary |
Med-share, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26222 Telegraph Rd, Suite 100, Southfield, MI 48033 Phone: 248-827-7200 Fax: 248-827-2641 | |
Caring Doctors At Home Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 29600 Northwestern Highway, Suite 106, Southfield, MI 48034 Phone: 313-258-4855 | |
Maecenas Health Systems Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26677 W 12 Mile Rd, Southfield, MI 48034 Phone: 248-358-6995 | |
Ark Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23999 Northwestern Hwy, Southfield, MI 48075 Phone: 248-924-1429 Fax: 248-419-2431 | |
Laina Feinstein Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 29829 Telegraph Rd, Suite 107, Southfield, MI 48034 Phone: 248-304-0786 Fax: 248-354-8559 | |
Magnum Managment Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17600 W 8 Mile Rd, Suite # 5, Southfield, MI 48075 Phone: 248-424-9749 | |
American Current Care Of Michigan, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26185 Greenfield Rd, Southfield, MI 48076 Phone: 248-569-2040 Fax: 248-569-2048 |