Ellen Middendorf, MD
NPI #1245234988 in Belleville, Illinois
Provider Information
- NPI Number
- 1245234988
- Entity Type
- Individual
- Name
- Ellen Middendorf, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Jun 10, 2005
- Last Updated
- May 24, 2012
Practice Location
- Address
- 4600 MEMORIAL DR
- Address 2
- STE. 160
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62226-5368
- Phone
- (618) 235-0460
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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