Jeffrey Edwin Middeldorf in Warren - Physical Medicine & Rehabilitation

Jeffrey Edwin Middeldorf - NPI 1063528958

Jeffrey Edwin Middeldorf is a Physical Medicine & Rehabilitation in Warren, Michigan. Jeffrey Edwin Middeldorf practices all healthcare services and medical treatments related to Physical Medicine & Rehabilitation. The NPI Number for Jeffrey Edwin Middeldorf is 1063528958. The last update date is 2013-12-10.

Jeffrey Edwin Middeldorf's current location address is 5700 E 11 Mile Road, Warren, Michigan. You can contact this provider via phone number 5865584482 and fax number 5865588923. The mailing address for Jeffrey Edwin Middeldorf is 5700 E 11 Mile Road, Warren, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Edwin Middeldorf
Address 5700 E 11 Mile Road, Warren, Michigan
Phone Number 5865584482
Fax Number 5865588923
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1063528958
Provider Enumeration Date 2006-08-22
Last Updated Date 2013-12-10

Provider Mailing Address Detail

Address 5700 E 11 Mile Road
City Warren
State Michigan (MI)
Post Code 48089
Phone Number 5865584482
Fax Number 5865588923

Provider's Primary Taxonomy Detail

Speciality Physical Medicine & Rehabilitation
Taxonomy 208100000X
Licence No 5101012371
Definition:
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affectin

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3742088 MI --
2555002114BX33 BC/BS

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FAQs about Jeffrey Edwin Middeldorf

What is the Jeffrey Edwin Middeldorf's 1063528958?

The Jeffrey Edwin Middeldorf's NPI (National Provider Identifier) Number is 1063528958. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Jeffrey Edwin Middeldorf is geographically located?

The Jeffrey Edwin Middeldorf is physically situated at the following location: 5700 E 11 Mile Road, Warren, MI, 48089.

What is Jeffrey Edwin Middeldorf's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jeffrey Edwin Middeldorf's area of specialization is Physical Medicine & Rehabilitation, and the corresponding taxonomy code that categorizes this field of practice is 208100000X.

On what date did Jeffrey Edwin Middeldorf receive its 1063528958 assignment from the Centers for Medicare & Medicaid Services?

The Jeffrey Edwin Middeldorf was assigned its 1063528958 on 2006-08-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Jeffrey Edwin Middeldorf's information last updated?

The Jeffrey Edwin Middeldorf's information was last updated on 2013-12-10.

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