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Jeffrey Middendorf

Nurse Anesthetist, Certified Registered in Robbinsdale, MN. Individual provider (NPI-1).

NPI number1073666079
StatusActive
Last updated in NPPESMay 22, 2008

Details

NPI
1073666079
Entity type
Individual (NPI-1)
Name
Jeffrey Middendorf
Sex
Female
Sole proprietor
No
Enumeration date
Jan 21, 2007
Last updated
May 22, 2008

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Can order and refer
Part B Yes · DME No · Home health No · Power mobility No · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified RegisteredR139993-0MNYes

Practice location

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926

Phone 763-520-1926

Mailing address

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Certified Registered Nurse Anesthetist providers in Robbinsdale, MN

All 85 Certified Registered Nurse Anesthetist providers in Robbinsdale · All 874 providers in Robbinsdale

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