THEODORE A. WIZENBERG, M.D.,P.C.
Osteopathic Medicine at Lahser Rd, Southfield, MI

License number
Michigan TW038081
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. THEODORE A WIZENBERG M.D.
Title: PRESIDENT
Phone: (248) 661-9125
Address
Address 2
23901 Lahser Rd, Southfield, MI 48033
31151 Westwood Rd, Farmington, MI 48331
National Provider ID: 1821043399
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about THEODORE A. WIZENBERG, M.D.,P.C. at bizstanding.com

THEODORE A. WIZENBERG, M.D., PC

Farmington, MI

Doing business as:
Theodore A Wizenberg MD
Registration:
Jul 26, 2000
Phone:
(248) 661-9125 (Phone)
Addresses:
31151 Westwood, Farmington, MI 48331 (Physical)
Michigan (Mailing)
State ID:
42549A
Business type:
Domestic Professional Service Corporation
Agent:
Theodore A Wizenberg
Categories:
Internal Medicine Physicians & Surgeons

Osteopathic Medicine licenses in Michigan










Other Doctors licenses in Michigan