Individual
MATTHEW THOMAS MIDDENDORF
Active
Individual
MATTHEW THOMAS MIDDENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD39270
SC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
M-2396
GU
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD-P-2025-007
GU
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD39270
SC
207RP1001X
Pulmonary Disease Physician
M-2396
GU
207RP1001X
Pulmonary Disease Physician
MD-P-2025-007
GU
207RP1001X
Pulmonary Disease Physician
MD39270
SC
Other
Enumeration date
11/11/2009
Last updated
10/01/2025
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