Individual
AKIYOSHI KIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
715 S HEALTH PKWY, MEDICAL OFFICE BUILDING 3, THREE RIVERS, MI 49093-8352
(269) 273-8471
(269) 273-9680
Mailing address
701 S HEALTH PKWY, MEDICAL STAFF OFFICE, THREE RIVERS, MI 49093-8352
(269) 273-9789
(269) 273-9611
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301084601
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2784044 10
—
MI
05
—
4670697-10
—
MI
05
—
5209977 10
—
MI
05
—
5209995 10
—
MI
01
—
700G5600080
BCBS GROUP-SURGICAL SERVICES
MI
01
—
700G560080
BCBSM
MI
Enumeration date
11/29/2005
Last updated
10/30/2008
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