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
ZIP Code
62226-5368
Phone
(618) 235-0460

Specialties & Taxonomy Codes

Specialty
Family Medicine

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