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Individual
DR. ERIC RICHARD MITTAUER
Active
Individual
DR. ERIC RICHARD MITTAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2024040374
MO
208M00000X
Hospitalist Physician
2024040374
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0116042532
VA
Other
Enumeration date
04/25/2022
Last updated
06/15/2026
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