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.

See every abbreviation used in this directory →

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

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