Individual
MITCHELL DALVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1749 S RACCOON RD, AUSTINTOWN, OH 44515-4703
(330) 799-3383
(330) 799-3505
Mailing address
1749 S RACCOON RD, AUSTINTOWN, OH 44515-4703
(330) 799-3383
(330) 799-3505
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36 002104
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0519442
—
OH
Enumeration date
07/09/2005
Last updated
02/12/2008
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