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1457393712
MATTHEW J TIEFENBRUNN
SULLIVAN, MO
NPI
1457393712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 117988)
Enumeration Date
2006-06-12
Last Update Date
2022-07-21
Business Address
-- MATTHEW J TIEFENBRUNN M.D.
1326 S SERVICE RD W STE 10
SULLIVAN, MO 63080-2306
Phone number: 573-468-4455
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Mailing Address
-- MATTHEW J TIEFENBRUNN M.D.
1326 S SERVICE RD W STE 10
SULLIVAN, MO 63080-2306
Phone number: 573-468-4455
Copy
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