person
Dr. Kanwaldeep S Sidhu, MD
Orthopedic Surgery of the Spine Physician in Saint Clair Shores, Michigan
NPI 1770545956

Kanwaldeep S Sidhu is a Orthopedic Surgery of the Spine Physician based in Saint Clair Shores, MI and is specialized in Orthopedic Surgery of the Spine. Kanwaldeep S Sidhu practices in Saint Clair Shores, MI and has the professional credentials of MD. The NPI Number for Kanwaldeep S Sidhu is 1770545956 and holds a License No. KS054699 (Michigan).

The current practice location address for Kanwaldeep S Sidhu is 23829 Little Mack Ave, Saint Clair Shores, MI and can be reached out via phone at 586-773-1300 and via fax at 586-773-1600.

Location: 23829 Little Mack Ave, Saint Clair Shores, MI, 48080-1186
person
Provider Profile Details
NPI Number
1770545956
Provider Name
Kanwaldeep S Sidhu
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
23829 Little Mack Ave, Saint Clair Shores, MI, 48080-1186
Phone Number
586-773-1300
Fax Number
586-773-1600
Provider Enumeration Date
04/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3164740 05 MI
C4763 01 MI MCARE
0826968 01 MI BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
23829 Little Mack Ave
City
State
Zip
48080-1186
Phone Number
586-773-1300
Fax Number
586-773-1600
person
Provider Business Mailing Address Details
Address
23829 Little Mack Ave
City
State
Zip
48080-1186
Phone Number
586-773-1300
Fax Number
586-773-1600
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Orthopedic Surgery of the Spine
Taxonomy
License No.
KS054699 (Michigan)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, orthopedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
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