Individual
DR. MARC I WITTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
799 DENISON CT FL 2, BLOOMFIELD HILLS, MI 48302-0053
(248) 751-7246
(248) 418-2311
Mailing address
799 DENISON CT, 2ND FLOOR, BLOOMFIELD HILLS, MI 48302-0301
(248) 751-7246
(248) 418-2311
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
MW058094
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871561654
—
MI
Enumeration date
03/09/2006
Last updated
02/23/2021
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