Individual
DR. MAREK T DIDLUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2265 S. LINDEN RD., STE A, FLINT, MI 48532
(810) 720-8700
(810) 720-3393
Mailing address
2265 S. LINDEN RD., STE A, FLINT, MI 48532
(810) 720-8700
(810) 720-3393
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301085501
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0731145
BCBSM
MI
01
—
080G376200
BCBSM
MI
05
—
104730839
—
MI
01
—
149834
GREAT LAKES HEALTH PLAN
MI
01
—
381870664
PRIVATE HEALTH CARE SYSTE
MI
01
—
7616564
AETNA
MI
01
—
MD085501
LICENSE NUMBER
MI
Enumeration date
07/06/2006
Last updated
05/16/2024
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