Organization
MATTHEW MITTELBRONN, MD MPH
Active
Organization
MATTHEW MITTELBRONN, MD MPH
Active
Other names
Lakeview Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW MITTELBRONN MD (OWNER)
(504) 813-3318
Entity
Organization
Contact information
Practice address
3918 TELEPHONE RD STE 100, LAKE WORTH, TX 76135-2933
(817) 752-5256
Mailing address
5608 MALVEY AVE STE 200, FORT WORTH, TX 76107-5107
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
12/17/2018
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