Stacey Wittenberg, MD
Pediatrics in Royal Oak, MI. Individual provider (NPI-1).
NPI number1477583243
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1477583243
- Entity type
- Individual (NPI-1)
- Name
- Stacey Wittenberg
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 4, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 4301072276 | MI | Yes |
Practice location
3601 W 13 Mile RdFsc
Royal Oak, MI 48073-6712
Phone 248-423-2454 · Fax 248-423-2576
Mailing address
3601 W 13 Mile RdFsc
Royal Oak, MI 48073-6712
Phone 248-423-2454 · Fax 248-423-2576
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