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Individual

DR. REBECCA JANE MITCHARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
420 DELAWARE STREET SE, MMC 284 14-100 PHILLIPS-WANGENSTEEN BLDG, MINNEAPOLIS, MN 55455-0392
(612) 625-7634
Mailing address
110 W GRANT ST, APT. 18J, MINNEAPOLIS, MN 55403-2309
(240) 281-2284

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/30/2010
Last updated
04/30/2010
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