Individual
JOHN EDWARD MIDTLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8299 161ST AVE NE, #101, REDMOND, WA 98052-3860
(425) 881-8813
(425) 869-7201
Mailing address
PO BOX 34036, SEATTLE, WA 98124-1036
(425) 899-3292
(425) 899-3269
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
37234
TN
207Q00000X
Family Medicine Physician
Primary
MD60139996
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190944
UNISON
TN
01
—
2504635
CIGNA
TN
01
—
38128
TLC
TN
05
—
3818686
—
TN
01
—
4135399
BLUE CROSS BLUE SHIELD
TN
01
—
626001636
UNITED HEALTHCARE
TN
Enumeration date
06/21/2006
Last updated
02/16/2011
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