Most Relevant Information
Provider Data
| NPI Number: | 1003256611 |
| Provider Name: | THEODOROS PANTAZIS M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 4301102903 |
Most Important Dates
| Enumeration Date: | 06/27/2013 |
| Last Updated: | 06/27/2013 |
Provider Practice Location
44250 DEQUINDRE RD
STERLING HEIGHTS
MI
483141002
Practice Location Phone/Fax
| Phone: | 2489640400 |
| Fax: | 2489640401 |
Provider Mailing Location
44250 DEQUINDRE RD
STERLING HEIGHTS
MI
483141002
Provider Mailing Phone/Fax
| Phone: | 2489640400 |
| Fax: | 2489640401 |
Suggested EMR
Family Practice EMR