Individual provider · Type 1 NPI
Lucas Tidwell, MD
Surgery Physician · Novi, MI
Practice location
26850 Providence Pkwy Ste 504
Novi, MI 48374-1267
Mailing address
PO Box 670884
Detroit, MI 48267-0884
Other practice locations
- 22250 Providence Dr Ste 206, Southfield, MI 48075-6210 · (248) 662-4333
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician Primary | 208600000X | 4301514131 (MI) |
Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…
3 other providers at this address
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- Ramachandra B. Kolachalam, MDSurgery Physician Novi, MI NPI 1386687010
- Michael John Jacobs, MDSurgery Physician Novi, MI NPI 1568474195
- Paraskevi Orfanou, MDSurgery Physician Novi, MI NPI 1598702250
- Elizabeth Wilson Tindal, MD MPHSurgery Physician Novi, MI NPI 1720517444
- Linda Mae Dubay, MDSurgery Physician Novi, MI NPI 1770591786
About NPI 1942837588
Lucas Tidwell, MD's National Provider Identifier is 1942837588, issued on Mar 24, 2020. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Novi, MI. The record was last updated on Sep 28, 2026.