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Search › Michigan › 363AM0700X

Carol Lidstrom, PA-C

NPI 1700192424 · on the registry since 2010 · sole proprietor

Practice

Address
1 Ford Pl
Suite 2e
Detroit, MI 48202
Phone
(313) 937-3049
Organisation at this address
Henry Ford Hospital
Henry Ford Urgent Care
Henry Ford Health System
Henry Ford Health System
Henry Ford Health System
Inferred from a shared address, not stated in the registry.
Clinicians at this address
118

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-08-19

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