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Jerry Vidis, RPH, MS

NPI 1518491513 · on the registry since 2017

Practice

Address
41092 Northwind Dr
Canton, MI 48188
Phone
(734) 397-2783

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-02-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan