- Practice location
- 2799 W Grand Blvd, Detroit, MI 48202-2608
- Phone
- 313-916-2676
- Fax
- —
- Last updated
- August 3, 2026
Theodore Arthur Dizikes is a Plastic Surgery based in Detroit, MI. Theodore Arthur Dizikes practices in Detroit, MI and has the professional credentials of DO. The NPI Number for Theodore Arthur Dizikes is 1841858768 and holds a License No. 5101029541 (MI). The current practice location address for Theodore Arthur Dizikes is 2799 W Grand Blvd, Detroit, MI 48202-2608 and can be reached out via phone at 313-916-2676.
Provider Profile Details
- NPI Number
- 1841858768
- Provider Name
- Theodore Arthur Dizikes
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2799 W Grand Blvd, Detroit, MI 48202-2608
- Phone Number
- 313-916-2676
- Primary Taxonomy
- Plastic Surgery · 208200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 5, 2019
- Last Update Date
- August 3, 2026
- Certification Date
- August 3, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2799 W Grand Blvd
Detroit, MI 48202-2608 - City
- Detroit
- State
- Michigan
- Zip
- 48202-2608
- Phone Number
- 313-916-2676
Provider Business Mailing Address Details
- Address
- Po Box 670884
Detroit, MI 48267-0884 - City
- Detroit
- State
- MI
- Zip
- 48267-0884
- Phone Number
- 313-874-4806
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 5101029541
- License State (2)
- MI
- Taxonomy (2)
- Plastic Surgery · 208200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Plastic Surgery providers near Detroit, MI
View all Plastic Surgery providers in Detroit →- Dr. Nosike C Obionwu, MDInternal Medicine · NPI 1457053134
- Sandeep KumarPathology, Anatomic Pathology & Clinical Pathology · NPI 1295221034
- Stephanie D Boerger, NURSE PRACTITIONERNurse Practitioner, Family · NPI 1548735483
- Dr. Quanza E Mooring, PHD, FNP-BCNurse Practitioner, Family · NPI 1770281016
- Marshall Balderston, DOInternal Medicine · NPI 1205570850
- Ashraf E Mohamed, MDPsychiatry & Neurology, Neurology · NPI 1013951029
Frequently Asked Questions
What is the NPI number of Dr. Theodore A Dizikes, DO?
The NPI number of Dr. Theodore A Dizikes, DO is 1841858768. It was assigned on June 5, 2019 and is currently active in the NPPES registry.
What is the specialty of Dr. Theodore A Dizikes, DO?
Dr. Theodore A Dizikes, DO is registered under the primary taxonomy Plastic Surgery (code 208200000X), licensed in MI under license number 5101029541.
Where does Dr. Theodore A Dizikes, DO practice?
The practice location is 2799 W Grand Blvd, Detroit, MI 48202-2608. The office can be reached at 313-916-2676 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1841858768 directly on the NPPES registry website.