DOUGLAS M IDDINGS PC NPI 1356572135

NPI Information

  • NPI: 1356572135
  • Provider Name: DOUGLAS M IDDINGS PC
  • Classification: Surgery - 2086X0206X
  • Specialization: Surgical Oncology
  • Entity Type: Organization
  • Address: 302 KENSINGTON AVE
    FLINT, MI
    ZIP 48503
  • Phone: (810) 762-8092

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NPI Details

DOUGLAS M IDDINGS PC is a surgical oncology surgery in Flint, MI. The provider is a surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. DOUGLAS M IDDINGS PC NPI is 1356572135. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

302 KENSINGTON AVE
FLINT, MI
ZIP 48503-044
Phone: (810) 762-8092
Fax: (810) 762-8892

The provider's authorized official is Douglas Iddings .
The authorized official title is D.o. and has the following contact phone number (810) 762-8092.

The enumeration date for this NPI number is 7/28/2009 and was last updated on 1/4/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086X0206XSurgerySurgical Oncology5101014246MICHIGANYes

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This page was last updated on: 11/21/2025

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