Kenneth R Mitchell MD

NPI 1083643605 - Family Medicine - 207Q00000X

NPI Details
NPI 1083643605
Gender Male
Enumeration Date 07/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
611 1ST AVE
CHIPPEWA FALLS WI, 54729-1242, US
Phone (715) 838-5222
Fax
Business Location
PO BOX 1510
EAU CLAIRE WI, 54702-1510, US
Phone (715) 838-5222
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Wisconsin
License Number 31357
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According to our database, Kenneth R Mitchell MD NPI is 1083643605, taxonomy code is 207Q00000X and license number is 31357, license state is located at Wisconsin. Kenneth R Mitchell MD physically located at 611 1st Ave, Chippewa Falls WI, 54729-1242. NPI Number Kenneth R Mitchell MD has the Individual type.

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1083643605 NPI number is provided on an as is basis without warranty of any kind. 1083643605 is maintained by the National Plan & Provider Enumeration System. The contents of Kenneth R Mitchell MD are for informational purposes only.