Search › Missouri › 207Q00000X
Matthew Tiefenbrunn, M.D
NPI 1457393712 · on the registry since 2006
Practice
- Address
- 1326 S Service Rd W Ste 10
Sullivan, MO 63080 - Phone
- (573) 468-4455
- Organisation at this address
- Mercy Clinic East Communities
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri