Individual
DR. JONATHAN B MITCHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
(314) 362-8028
Mailing address
5330 PERSHING AVE, 405, SAINT LOUIS, MO 63112-1718
(740) 398-6232
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2007016883
MO
Other
Enumeration date
06/18/2007
Last updated
09/02/2022
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