Individual
JEFFREY MIDDENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 520-1926
Mailing address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R139993-0
MN
Other
Enumeration date
01/21/2007
Last updated
05/22/2008
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