Individual
EILEEN M MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
600 4TH ST, SUITE 501, SIOUX CITY, IA 51101-1750
(712) 234-0220
(712) 234-0225
Mailing address
3549 SOUTHERN HILLS DR, SUITE 501, SIOUX CITY, IA 51106-4736
(712) 274-6729
(712) 274-6744
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001320
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37256
WELLMARK
IA
Enumeration date
03/24/2006
Last updated
04/20/2016
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