Individual
AJAY MIDDHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT OCS MTC
Contact information
Practice address
555 W WACKERLY ST STE 3600, MIDLAND, MI 48640-4714
(989) 631-3570
(989) 631-3275
Mailing address
555 W WACKERLY ST STE 3600, MIDLAND, MI 48640-4714
(989) 631-3570
(989) 631-3275
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501006768
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4495640
—
MI
Enumeration date
04/26/2006
Last updated
05/04/2021
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