THEODORE A WIZENBERG

SOUTHFIELD, MI
NPI1932102423
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: MI  4301038081)
Enumeration Date2005-05-27
Last Update Date2007-10-23
Business Address
DR. THEODORE A WIZENBERG M.D.
23901 LAHSER RD
SOUTHFIELD, MI 48034-6035
Phone number: 248-357-3360
Mailing Address
DR. THEODORE A WIZENBERG M.D.
31151 WESTWOOD RD
FARMINGTON HILLS, MI 48331-1471
Phone number: 248-661-9125
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