Individual
DR. MICHAEL S MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9001
(619) 543-3405
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G60073
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G600730
—
CA
Enumeration date
07/17/2006
Last updated
02/16/2018
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