# MICHAEL J MITCHELL MD FACS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386823045
- **Authorized official:** MICHAEL J MITCHELL MD (OWNER PRESIDENT)
- **Authorized official phone:** (716) 282-0349

## Contact information

- **Practice address:** 620 TENTH ST, SUITE 715, NIAGARA FALLS, NY 14301
- **Practice address phone:** (716) 282-0349
- **Practice address fax:** (716) 282-4152
- **Mailing address:** 620 TENTH ST, SUITE 715, NIAGARA FALLS, NY 14301
- **Mailing address phone:** (716) 282-0349
- **Mailing address fax:** (716) 282-4152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 1918411 | NY | — |
| 2086S0129X | Vascular Surgery Physician | 1918411 | NY | Yes |

## Other

- **Enumeration date:** 10/30/2007
- **Last updated:** 10/30/2007