Individual
DR. LYDIA MBATIDDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5702
(800) 782-8581
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5702
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
100019-851
WI
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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