Individual
MATTHEW MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8333 FELCH STREET, SUITE 200, ZEELAND, MI 49464-2608
(616) 748-2850
Mailing address
100 MICHIGAN STREET NE MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007685
MI
Other
Enumeration date
04/05/2016
Last updated
02/15/2021
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