Wagenheim, Elliot Charles

Wagenheim, Elliot Charles is an sole proprietor health care provider with primary practice located at 280 N Old Woodward Ave Suite 405, Birmingham MI 48009-5300. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Forensic Psychiatry is his primary health care specialty. Wagenheim, Elliot Charles can be contacted via phone (248) 642-8330.

Contact Information

Primary practice address
280 N Old Woodward Ave Suite 405 Birmingham MI 48009-5300
Phone: (248) 642-8330
Fax: (248) 642-6630
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 4301035135 Michigan
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301035135 Michigan

Profile Details

NPI number 1588774566
LBN Legal business name Wagenheim, Elliot Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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