Stephen W Wittenberg (NPI# 1376553644, PAC ID# 6103896626) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
Nation Provider ID (NPI) | 1376553644 |
PAC ID by PECOS | 6103896626 |
Professional Enrollment ID | I20060428000025 |
Full Name | Stephen W Wittenberg |
Address |
28037 Dequindre Rd Madison Heights MI 48071-3079 |
Gender | M |
Credential | DPM |
Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
Graduation Year | 1969 |
Primary Specialty | PODIATRY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
28037 Dequindre Rd, Madison Heights, MI 48071-3079 |
Street Address |
28037 DEQUINDRE RD |
City | MADISON HEIGHTS |
State | MI |
Zip | 48071-3079 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael R Altenburg | Physical Therapy | Krs of Clawson LLC | 901 W Maple Rd, Clawson, MI 48071-1005 |
Maria Schaefer | Physical Therapy | Krs of Clawson LLC | 901 W Maple Rd, Clawson, MI 48071-1005 |
Brittni N Cruse | Physical Therapy | Krs of Clawson LLC | 901 W Maple Rd, Clawson, MI 48071-1005 |
Brian A Jones | Physical Therapy | Krs of Clawson LLC | 901 W Maple Rd, Clawson, MI 48071-1005 |
Steven J Rabaut | Physical Therapy | Krs of Clawson LLC | 901 W Maple Rd, Clawson, MI 48071-1005 |
William Bradley Bean | Physical Therapy | Krs of Clawson LLC | 901 W Maple Rd, Clawson, MI 48071-1005 |
Pamela Obare | Nurse Practitioner | City Medical PC | 30581 Stephenson Hwy, Madison Heights, MI 48071-1610 |
Thomas John Petrou | Anesthesiology | Detroit Anesthesia Group Pllc | 30781 Stephenson Hwy, Madison Heights, MI 48071-1618 |
Alexander K Grossi | Anesthesiology | Detroit Anesthesia Group Pllc | 30781 Stephenson Hwy, Madison Heights, MI 48071-1618 |
Christopher E Wicks | Anesthesiology | Detroit Anesthesia Group Pllc | 30781 Stephenson Hwy, Madison Heights, MI 48071-1618 |
Find all physicians in zip 48071 |
City | MADISON HEIGHTS |
Zip Code | 48071 |
Specialty | PODIATRY |
City + Specialty | MADISON HEIGHTS + PODIATRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.