Individual
DAVID J MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24755 CHAGRIN BLVD, SUITE 345, BEACHWOOD, OH 44122-5692
(216) 297-3230
(216) 342-5290
Mailing address
24755 CHAGRIN BLVD, STE 345, BEACHWOOD, OH 44122-5692
(216) 297-3230
(216) 342-5290
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35-05-1755-M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0315046
—
OH
01
—
DS4304
RAILROAD MEDICARE
—
Enumeration date
08/24/2005
Last updated
06/24/2016
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