Mitchell, Daniel M

Mitchell, Daniel M is an individual health care provider with primary practice located at 1711 S Stephenson Ave Suite 300, Iron Mountain MI 49801-3650. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mitchell, Daniel M can be contacted via phone (906) 774-1633.

Contact Information

Primary practice address
1711 S Stephenson Ave Suite 300 Iron Mountain MI 49801-3650
Phone: (906) 774-1633
Fax: (906) 774-4451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301042600 Michigan

Profile Details

NPI number 1265434849
LBN Legal business name Mitchell, Daniel M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Sep 29th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265434849 NPPES
Wisconsin MEDICAID 30333700
Wisconsin MEDICAID 101686648
Wisconsin Other 080220008
Wisconsin Other 080055774
Wisconsin Other 01007242

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