Individual
MICHELLE N MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10315 W GREENFIELD AVE, WEST ALLIS, WI 53214-3941
(414) 258-8054
Mailing address
1200 VERANDA CT, BROOKFIELD, WI 53005-7147
(414) 870-0956
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17218-40
WI
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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