Individual
DR. STEPHANIE C MITTELSTAEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 882-2778
(360) 604-1767
Mailing address
PO BOX 873010, VANCOUVER, WA 98687-3010
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD167984
OR
207R00000X
Internal Medicine Physician
Primary
MD60671178
WA
Other
Enumeration date
04/18/2012
Last updated
10/20/2016
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