Individual
JODIE MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7820 SUNSET ST, WEST BLOOMFIELD, MI 48323-1288
(248) 895-9510
Mailing address
7820 SUNSET ST, WEST BLOOMFIELD, MI 48323-1288
(248) 895-9510
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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