ELLEN MIDDENDORF, MD
Family Medicine
Active
Individual
NPI: 1245234988
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 036-108143 (IL) |
Frequently Asked Questions
NPI 1245234988 is the National Provider Identifier for ELLEN MIDDENDORF, MD, a Family Medicine provider located in Belleville, IL. This NPI was enumerated on June 10, 2005.
ELLEN MIDDENDORF, MD practices at 4600 MEMORIAL DR, STE. 160, Belleville, IL 62226.
Quick Facts
- NPI
- 1245234988
- Type
- Individual
- Enumerated
- Jun 10, 2005
- Last Updated
- May 24, 2012
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