DR. Edwin Robert Itenberg, D.O.

NPI #1255508487 in Southfield, Michigan

Provider Information

NPI Number: 1255508487
Entity Type: Individual
Name: DR. Edwin Robert Itenberg, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Colon & Rectal Surgery
Credential: D.O.
Enumeration Date: May 16, 2008
Last Updated: Dec 5, 2012

Practice Location

Address: 16001 W 9 MILE RD
Address 2: FISHER BUILDING 3RD FLOOR
City: Southfield
State: Michigan
ZIP Code: 48075-4818
Phone: (248) 849-6030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Colon & Rectal Surgery	208C00000X	Primary
Surgery	208600000X

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