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Individual

MICHEAL MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8412 WAHRMAN ST, ROMULUS, MI 48174-4162
(734) 686-9992
Mailing address
8412 WAHRMAN ST, ROMULUS, MI 48174-4162
(734) 686-9992

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703114774
MI

Other

Enumeration date
04/16/2015
Last updated
04/16/2015
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