Individual
DR. MICHAEL MITTELSTEADT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
625 E NICOLLET BLVD, SUITE 340, BURNSVILLE, MN 55337
(952) 435-0370
(952) 435-0377
Mailing address
625 E NICOLLET BLVD, SUITE 340, BURNSVILLE, MN 55337
(952) 435-0370
(952) 435-0377
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
151112
NC
1223E0200X
Endodontics
Primary
D14151
MN
Other
Enumeration date
07/27/2016
Last updated
12/10/2020
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