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

Dr. Theodore A Wizenberg, MD

Individual provider Internal Medicine Physician · NPI 1932102423

Dr. Theodore A Wizenberg, MD is an Internal Medicine Physician in Southfield, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

23901 Lahser Rd
Southfield, MI 48034-6035
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 4301038081 (MI)

Record details

NPI number1932102423
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 27, 2005
Last updated in NPPESOctober 23, 2007
Mailing address31151 Westwood Rd, Farmington Hills, MI 48331-1471

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