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Individual

DR. MARIUS G VIDINAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
44201 DEQUINDRE RD, SUITE C, TROY, MI 48085-1117
(248) 691-8646
Mailing address
12745 S SAGINAW ST, #806-196, GRAND BLANC, MI 48439-2437
(248) 691-8646

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
4301079836
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01002481
HEALTHPLUS OF MICHIGAN
MI
01
1102512141
BLUE CROSS & BLUE SHIELD
MI
05
4827777
MI
01
CF9870
RAILROAD MEDICARE GROUP PIN
MI
01
P00311215
RAILROAD MEDICARE INDIVIDUAL PIN
MI
Enumeration date
07/28/2006
Last updated
04/11/2017
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