Individual provider · Type 1 NPI
Theodore Arthur Dizikes, DO
Plastic Surgery Physician · Detroit, MI
Practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Mailing address
PO Box 670884
Detroit, MI 48267-0884
Other practice locations
- 703 Main St, Paterson, NJ 07503-2621 · (717) 887-9163
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Plastic Surgery Physician Primary | 208200000X | 5101029541 (MI) |
Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…
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About NPI 1841858768
Theodore Arthur Dizikes, DO's National Provider Identifier is 1841858768, issued on Jun 5, 2019. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Detroit, MI. The record was last updated on Aug 3, 2026.