Individual
MR. MICHAEL ERNST MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-3518
(414) 805-3666
Mailing address
10000 W INNOVATION DR, MILWAUKEE, WI 53226-4837
(414) 456-5006
(414) 456-6259
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
49649
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34711000
—
WI
Enumeration date
09/01/2006
Last updated
04/22/2008
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