Individual
JACQUELINE VIDOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E. MEDICAL CENTER DR., 1H247, ANN ARBOR, MI 48109
(734) 936-4280
(734) 936-9091
Mailing address
1500 E. MEDICAL CENTER DR., 1H247, ANN ARBOR, MI 48109
(734) 936-4280
(734) 936-9091
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301510510
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351046180
MI
Other
Enumeration date
06/17/2020
Last updated
08/05/2025
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