Individual
MATTHEW ANTHONY MITTELBRONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 927-3925
(817) 927-3980
Mailing address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 927-3925
(817) 927-3980
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M5383
TX
207N00000X
Dermatology Physician
MD.026045
LA
Other
Enumeration date
06/10/2006
Last updated
11/17/2016
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