Individual
MICHAEL ROBERT MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 ZORN AVE, SURGICAL SERVICE 112, LOUISVILLE, KY 40206-1433
(502) 287-6802
(502) 287-6815
Mailing address
800 ZORN AVE, SURGICAL SERVICE 112, LOUISVILLE, KY 40206-1433
(502) 287-6802
(502) 287-6815
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28163321A
IN
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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