ELLEN MIDDENDORF

BELLEVILLE, IL
NPI1245234988
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036-108143)
Enumeration Date2005-06-10
Last Update Date2012-05-24
Business Address
-- ELLEN MIDDENDORF MD
4600 MEMORIAL DR STE. 160
BELLEVILLE, IL 62226-5368
Phone number: 618-235-0460
Mailing Address
-- ELLEN MIDDENDORF MD
4600 MEMORIAL DR STE. 160
BELLEVILLE, IL 62226-5368
Phone number: 618-235-0460
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