Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLEN MIDDENDORF, MD
ActiveELLEN MIDDENDORF, MD is a Family Medicine healthcare provider located in BELLEVILLE, Illinois. NPI 1245234988 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · BELLEVILLE, IL
Registration Details
- NPI Number
- 1245234988
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 10, 2005 (20.996116224035 yrs)
- Last Updated
- May 24, 2012
- License
-
036-108143 (IL)
Practice Information
- Address
-
4600 MEMORIAL DRSTE. 160BELLEVILLE, IL, 622265368Browse IL providers · Browse ZIP 62226
- Phone
- 6182350460
- Fax
- 6182351464
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in BELLEVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES P WADE | MD | 1386640399 |
| DAVID P RAWDON | MD | 1376549139 |
| SALMA MANNAN-HILALY | MD | 1699772251 |
| MELINDA S WALKER | DO | 1306838156 |
| WALLACE K ABEL | MD | 1003808858 |
| DOUGLAS C DESPAIN | MD | 1275525024 |
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.