Individual
DR. PETER NATHANAEL MITTWEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
401 BAPTIST DR STE 301, MADISON, MS 39110-2012
(601) 973-1571
(601) 973-1577
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
(877) 348-1281
(901) 227-3206
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD469401
PA
Other
Enumeration date
06/22/2016
Last updated
12/18/2024
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