Individual
DR. BRENT RONALD MITTELSTAEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3400 LEBANON RD, MURFREESBORO, TN 37129-1392
(615) 867-6000
Mailing address
3021 SAINT JOHNS DR, MURFREESBORO, TN 37129-5834
(732) 801-6962
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
278557
MA
207W00000X
Ophthalmology Physician
Primary
4519
TN
207W00000X
Ophthalmology Physician
OS014462
PA
207W00000X
Ophthalmology Physician
OS13484
FL
Other
Enumeration date
02/05/2008
Last updated
09/23/2021
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