Individual
MICHAEL DIDINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7401 104TH AVE, SUITE 110, KENOSHA, WI 53142-7845
(262) 764-5595
(262) 764-9314
Mailing address
7401 104TH AVE, SUITE 110, KENOSHA, WI 53142-7845
(262) 764-5595
(262) 764-9314
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
48213
WI
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
48213
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43521500
—
WI
Enumeration date
11/08/2005
Last updated
09/19/2018
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