# DR. MITCHELL S MEDNICK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1164648846
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | OS006362E | PA | Yes |
| 208VP0000X | Pain Medicine Physician | 0S006362E | PA | — |

## Other

- **Enumeration date:** 04/18/2007
- **Last updated:** 08/13/2018