Organization
MAT-SU DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELODY MITTELSTEADT (COO)
(210) 897-9248
Entity
Organization
Contact information
Practice address
2250 S WOODWORTH LOOP STE 101, PALMER, AK 99645-7457
(907) 745-7546
(907) 745-7540
Mailing address
2250 S WOODWORTH LOOP STE 101, PALMER, AK 99645-7457
(907) 745-7546
(907) 745-7540
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
06/24/2025
Last updated
08/20/2025
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