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1366892150
MARK DAVID KIDWELL
LANSING, MI
NPI
1366892150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 5101022590)
Enumeration Date
2016-06-13
Last Update Date
2019-08-26
Business Address
Dr. MARK DAVID KIDWELL D.O.
3955 PATIENT CARE DR STE A
LANSING, MI 48911
Phone number: 517-374-7600
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Mailing Address
Dr. MARK DAVID KIDWELL D.O.
3955 PATIENT CARE DR STE A
LANSING, MI 48911-4271
Phone number: 517-374-7600
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