Individual
MATTHEW THOMAS MIDDENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
FARENHOLT AVE. BLDG. 50, AGANA HEIGHTS, GU 96910
(671) 344-9340
Mailing address
PSC 455 BOX 208, FPO, AP 96540-0003
(706) 296-3552
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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