Individual
AXEL LICHTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 593-7000
Mailing address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 593-7000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
5151018200
MI
208D00000X
General Practice Physician
Primary
5151018200
MI
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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