IndividualActive
Kanwaldeep Sidhu, MD
NPI 1770545956 · Orthopaedic Surgery of the Spine Physician · Saint Clair Shores, MI
Provider details
- NPI number
- 1770545956
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- KS054699 (MI)
Practice location
23829 Little Mack Ave
Suite 100
Saint Clair Shores, MI 48080-1186
Phone: (586) 773-1300
Fax: (586) 773-1600
Mailing address
23829 Little Mack Ave
Saint Clair Shores, MI 48080-1186
Registry dates
- Enumerated
- 2006-04-04
- Last updated
- 2012-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.