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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