Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWIN ROBERT ITENBERG, D.O.
Active Sole ProprietorColon & Rectal Surgery · SOUTHFIELD, MI
Registration Details
- NPI Number
- 1255508487
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 16, 2008 (17.931202985019 yrs)
- Last Updated
- Dec 5, 2012
- Licenses
-
5101019112 (MI)5101019112 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16001 W 9 MILE RDFISHER BUILDING 3RD FLOORSOUTHFIELD, MI, 480754818Browse MI providers · Browse ZIP 48075
- Phone
- 2488496030
- Fax
- 2488496039
- Primary Specialty
-
Colon & Rectal Surgery
208C00000X
- Additional Specialty
- General Surgery
Other Colon & Rectal Surgery Providers in SOUTHFIELD, MI
| Name | Credential | NPI |
|---|---|---|
| DR. ALASDAIR I.L. MCKENDRICK | M.D. | 1003814955 |
| ERNESTO R DRELICHMAN | MD | 1801839899 |
| RALPH DONALD PEARLMAN | MD | 1033125992 |
| AMIR A. DAMADI | MD | 1487853339 |
| DR. JAI P SINGH | M.D | 1588099451 |
| LISA MARIA PARKER | M.D. | 1386031185 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.