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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JEFFREY EDWIN MIDDELDORF, D.O.

Active

DR. JEFFREY EDWIN MIDDELDORF, D.O. is a Physical Medicine & Rehabilitation healthcare provider located in WARREN, Michigan. NPI 1063528958 is currently active in the NPPES registry. Verify at CMS.

Physical Medicine & Rehabilitation · WARREN, MI

Registration Details

NPI Number
1063528958
Provider Type
Individual
Gender
Male
NPI Issued
Aug 22, 2006 (19.969562585742 yrs)
Last Updated
Dec 10, 2013
Licenses
2301003007 (MI)
5101012371 (MI)
2238841 (NY)

Practice Information

Address
5700 E 11 MILE ROAD
SUITE C
WARREN, MI, 48089
Browse MI providers · Browse ZIP 48089
Phone
5865584482
Fax
5865588923
Primary Specialty
Physical Medicine & Rehabilitation
208100000X

Other Physical Medicine & Rehabilitation Providers in WARREN, MI

Name Credential NPI
DR. ERIC NICHOLAS BACKOS M.D. 1780625251
DANIEL MARTIN RYAN MD 1730195231
MARIA RUIZ M.D. 1609883495
AARON WAYNE SABLE MD 1306856984
MR. YOUNG IL SEO MD 1548271109
ASIT RAY MD 1932111572
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.