Micheal Mitchell

NPI 1073900155 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1073900155
Gender Male
Enumeration Date 04/16/2015
Last Updated 04/16/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
8412 WAHRMAN ST
ROMULUS MI, 48174-4162, US
Phone (734) 686-9992
Fax
Business Location
8412 WAHRMAN ST
ROMULUS MI, 48174-4162, US
Phone (734) 686-9992
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Michigan
License Number 4703114774
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According to our database, Micheal Mitchell NPI is 1073900155, taxonomy code is 164W00000X and license number is 4703114774, license state is located at Michigan. Micheal Mitchell physically located at 8412 Wahrman St, Romulus MI, 48174-4162. NPI Number Micheal Mitchell has the Individual type.

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1073900155 NPI number is provided on an as is basis without warranty of any kind. 1073900155 is maintained by the National Plan & Provider Enumeration System. The contents of Micheal Mitchell are for informational purposes only.