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Individual
FREDRICK MITZEL
Active
Individual
FREDRICK MITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5337
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0121791
VALLEY CITY MEDICA #
ND
01
—
137121
UCARE #
ND
05
—
15381
—
ND
01
—
26265
NDBS VC #
ND
01
—
323S8MI
MNBS #
ND
01
—
45611
LHS #
ND
05
—
596822400
—
ND
01
—
939371
ARAZ #
ND
01
—
DA9061014591
VALLEY CITY PREF 1 #
ND
01
—
HP23755
HEALTHPARTNERS #
ND
Enumeration date
06/08/2006
Last updated
11/15/2012
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