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Jeffrey Middeldorf, D.O
NPI 1063528958 · on the registry since 2006
Practice
- Address
- 5700 E 11 Mile Road
Suite C
Warren, MI 48089 - Phone
- (586) 558-4482
- Fax
- (586) 558-8923
- Organisation at this address
- Moda Meds Rx Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Also registered as
- 111N00000X
208100000X - Licence states on file
- MI, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-12-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan