Individual
DR. MAUREEN A KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1619 N STOUGHTON RD, MADISON, WI 53704-2603
(608) 244-1213
Mailing address
1619 N STOUGHTON RD, MADISON, WI 53704-2603
(608) 244-1213
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
50325-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811912488
—
WI
Enumeration date
07/13/2006
Last updated
01/21/2019
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