Individual
JOHN M MCILDUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5020 W BRISTOL RD, FLINT, MI 48507-2919
(810) 732-1620
(810) 732-8559
Mailing address
5020 W BRISTOL RD, FLINT, MI 48507-2919
(810) 732-1620
(810) 732-8559
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
JM045495
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0108141
HEALTHPLUS OF MICHIGAN
MI
01
—
0202508141
BC/BS OF MICHIGAN
MI
01
—
105269
CARE CHOICE HMO
MI
01
—
113646
GREAT LAKE HEALTH PLAN
MI
05
—
1430955
—
MI
01
—
204105
MCLAREN HEALTH PLAN/ADVAN
MI
01
—
382237803109
COMMUNITY CHOICE
MI
01
—
4294624
AETNA
MI
01
—
B43079
HEALTH ALLIANCE PLAN
MI
01
—
C3731
M-CARE
MI
Enumeration date
01/31/2006
Last updated
11/27/2007
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