Matthew J Tiefenbrunn, M.D.

NPI #1457393712 in Sullivan, Missouri

Provider Information

NPI Number: 1457393712
Entity Type: Individual
Name: Matthew J Tiefenbrunn, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jun 12, 2006
Last Updated: Jul 21, 2022

Practice Location

Address: 1326 S SERVICE RD W STE 10
City: Sullivan
State: Missouri
ZIP Code: 63080-2306
Phone: (573) 468-4455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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Organizations

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