Organization
DOUGLAS M IDDINGS PC
Active
Organization
DOUGLAS M IDDINGS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS IDDINGS D.O. (D.O.)
(810) 762-8092
Entity
Organization
Contact information
Practice address
302 KENSINGTON AVE, FLINT, MI 48503-2044
(810) 762-8092
(810) 762-8892
Mailing address
302 KENSINGTON AVE, FLINT, MI 48503-2044
(810) 762-8092
(810) 762-8892
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
5101014246
MI
Other
Enumeration date
07/28/2009
Last updated
01/04/2017
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