Individual
DR. MARK DAVID KIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3955 PATIENT CARE DR STE A, LANSING, MI 48911
(517) 374-7600
(885) 480-9150
Mailing address
3955 PATIENT CARE DR STE A, LANSING, MI 48911-4271
(517) 374-7600
(885) 480-9150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101022590
MI
Other
Enumeration date
06/13/2016
Last updated
03/19/2025
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