Individual
DR. FREDRIC HOWARD ITZKOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
703 TYLER ST, SUITE 150, SANDUSKY, OH 44870-3367
(419) 625-8722
(419) 625-8436
Mailing address
PO BOX 378, SANDUSKY, OH 44871-0378
(419) 626-6161
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34005902
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103042
—
OH
Enumeration date
09/27/2005
Last updated
09/25/2018
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