person
Chad Tidwell, DO
Student in an Organized Health Care Education/Training Program in Detroit, Michigan
NPI 1396366720

Chad Tidwell is a Student in an Organized Health Care Education/Training Program based in Detroit, MI. Chad Tidwell practices in Detroit, MI and has the professional credentials of DO. The NPI Number for Chad Tidwell is 1396366720 and holds a License No. (Michigan).

The current practice location address for Chad Tidwell is 4201 Saint Antoine St # 9C, Detroit, MI and can be reached out via phone at 313-993-7385.

Location: 4201 Saint Antoine St # 9C, Detroit, MI, 48201-2153
person
Provider Profile Details
NPI Number
1396366720
Provider Name
Chad Tidwell
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
4201 Saint Antoine St # 9C, Detroit, MI, 48201-2153
Phone Number
313-993-7385
Fax Number
Provider Enumeration Date
04/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4201 Saint Antoine St # 9C
City
State
Zip
48201-2153
Phone Number
313-993-7385
Fax Number
person
Provider Business Mailing Address Details
Address
4201 Saint Antoine St # 9C
City
State
Zip
48201-2153
Phone Number
313-993-7385
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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