Individual
CHRISTINE AILEEN KIDDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
(248) 471-8000
Mailing address
4891 MIDDLEBURY DRIVE, LAKE ORION, MI 48359
(517) 256-8110
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
5101016906
MI
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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