Provider Demographics
NPI:1235120916
Name:MIDDLEBROOK, MARGARET TOMLINSON (MD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:TOMLINSON
Last Name:MIDDLEBROOK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:100 MICHIGAN ST NE # MC845
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-2560
Mailing Address - Country:US
Mailing Address - Phone:616-486-6790
Mailing Address - Fax:
Practice Address - Street 1:907 E TINKHAM AVE
Practice Address - Street 2:
Practice Address - City:LUDINGTON
Practice Address - State:MI
Practice Address - Zip Code:49431-1537
Practice Address - Country:US
Practice Address - Phone:231-843-3477
Practice Address - Fax:231-843-9042
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200101102208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCD2668OtherMEDCOST
NC12970OtherBLUE CROSS/BLUE SHIELD
NC12970OtherFEDERAL EMPLOYEES
NC12970OtherNC HEALTH CHOICE
NC8912970Medicaid
NC12-00361OtherUNITED HEALTH CARE
NC12970OtherSTATE HEALTH PLAN
NC62308-NOCDOtherCIGNA
NCS13105Medicare UPIN