Dr. Jeffrey Edwin Middeldorf, D.O.
Physical Medicine & Rehabilitation in Warren, MI. Individual provider (NPI-1).
NPI number1063528958
StatusActive
Last updated in NPPESDec 10, 2013
Details
- NPI
- 1063528958
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeffrey Edwin Middeldorf
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2006
- Last updated
- Dec 10, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 5101012371 | MI | Yes |
| 111N00000X | Chiropractor | 2301003007 | MI | |
| 208100000X | Physical Medicine & Rehabilitation | 2238841 | NY |
Practice location
5700 E 11 Mile RoadSuite C
Warren, MI 48089
Phone 586-558-4482 · Fax 586-558-8923
Mailing address
888 West Big Beaver RoadSuite 480
Troy, MI 48084-4764
Phone 248-797-8324 · Fax 248-816-5173
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All 21 Physical Medicine & Rehabilitation Physician providers in Warren · All 4,104 providers in Warren
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