Lucas Tidwell, MD
Lucas Tidwell, MD is a Surgery Physician in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2020.
- Licensed in
- MI
- In the registry since
- 2020
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
22250 Providence Dr Ste 206Southfield, MI 48075-6210
Phone: (248) 662-4333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 4301514131 (MI) |
|---|
Record details
| NPI number | 1942837588 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 24, 2020 |
| Last updated in NPPES | July 8, 2025 |
| Certification date | July 8, 2025 |
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Sahand Sohirad, MD
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Alyssa Joy Stroud, MD
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