Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theodore A. Wizenberg, MD, PC

Organization Internal Medicine Physician · NPI 1821043399

Theodore A. Wizenberg, MD, PC is an Internal Medicine Physician in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

23901 Lahser Rd
Southfield, MI 48033-6035
Phone: (248) 357-3360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence TW038081 (MI)

Record details

NPI number1821043399
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theodore Wizenberg — President · (248) 661-9125
NPI enumeratedMay 23, 2006
Last updated in NPPESOctober 23, 2007
Mailing address31151 Westwood Rd, Farmington Hills, MI 48331-1471

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