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Individual
ALEX MIDDENDORF
Active
Individual
ALEX MIDDENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, MBA
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
IA22077
IA
183500000X
Pharmacist
Primary
R6248
SD
Other
Enumeration date
09/16/2013
Last updated
02/19/2015
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