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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1841858768

Dr. Theodore Arthur Dizikes, DO is a Student in an Organized Health Care Education/Training Program in Detroit, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (313) 916-2676
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 703 Main St, Paterson, NJ 07503-2621 — (717) 887-9163

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 5101029541 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1841858768
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 5, 2019
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026

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