SHAWN E KIDDER

WARSAW, IN
NPI1831151869
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  IN02001281)
Enumeration Date2006-04-05
Last Update Date2023-03-07
Business Address
SHAWN E KIDDER DO
2235 DUBOIS DRIVE NULL
WARSAW, IN 46580-3212
Phone number: 574-371-2625
Mailing Address
SHAWN E KIDDER DO
1234 E DUPONT RD SUITE 3
FORT WAYNE, IN 46825-1545
Phone number: 260-373-9700
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