Individual
DR. KIP A BIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 E RIVERVIEW AVE, SUITE 101, NAPOLEON, OH 43545-9805
(419) 592-8774
(419) 592-4103
Mailing address
1600 E RIVERVIEW AVE, SUITE 101, NAPOLEON, OH 43545-9805
(419) 592-8774
(419) 592-4103
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35073836B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2046888
—
OH
Enumeration date
11/21/2005
Last updated
01/11/2017
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