Stacey Wittenberg in Royal Oak - Pediatrics

Stacey Wittenberg - NPI 1477583243

Stacey Wittenberg is a Pediatrics in Royal Oak, Michigan. Stacey Wittenberg practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Stacey Wittenberg is 1477583243. The last update date is 2007-07-08.

Stacey Wittenberg's current location address is 3601 W 13 Mile Rd, Royal Oak, Michigan. You can contact this provider via phone number 2484232454 and fax number 2484232576. The mailing address for Stacey Wittenberg is 3601 W 13 Mile Rd, Royal Oak, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Stacey Wittenberg
Address 3601 W 13 Mile Rd, Royal Oak, Michigan
Phone Number 2484232454
Fax Number 2484232576
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1477583243
Provider Enumeration Date 2006-07-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3601 W 13 Mile Rd
City Royal Oak
State Michigan (MI)
Post Code 480736712
Phone Number 2484232454
Fax Number 2484232576

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 4301072276
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4334587 MI --

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FAQs about Stacey Wittenberg

What is the unique 10-digit identification code assigned to Stacey Wittenberg by the Centers for Medicare & Medicaid Services?

The Stacey Wittenberg has been issued the NPI (National Provider Identifier) 1477583243, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Stacey Wittenberg located?

The Stacey Wittenberg is located at 3601 W 13 Mile Rd, Royal Oak, MI 480736712.

What is the Stacey Wittenberg's area of specialization and corresponding taxonomy classification?

The Stacey Wittenberg's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.

On what date did the Stacey Wittenberg receive its 1477583243 assignment from the Centers for Medicare & Medicaid Services?

The Stacey Wittenberg was assigned its 1477583243 by the Centers for Medicare & Medicaid Services on 2006-07-04.

When was the information pertaining to Stacey Wittenberg most recently updated or revised?

The details related to Stacey Wittenberg, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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