Organization
DONALD K MIDDLETON, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLENE D BOST (OFFICE MANAGER)
(414) 961-0304
Entity
Organization
Contact information
Practice address
3970 N OAKLAND AVE, SUITE 300, MILWAUKEE, WI 53211-2265
(414) 961-0304
(414) 961-2061
Mailing address
3970 N OAKLAND AVE, SUITE 300, MILWAUKEE, WI 53211-2265
(414) 961-0304
(414) 961-2061
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
30595
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31924400
—
WI
Enumeration date
11/08/2007
Last updated
10/05/2011
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