Individual
DR. JASON W MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H., M.B.A.
Contact information
Practice address
11995 SINGLETREE LN STE 500, EDEN PRAIRIE, MN 55344-5349
(952) 595-1301
(612) 294-4903
Mailing address
11995 SINGLETREE LN STE 500, EDEN PRAIRIE, MN 55344-5349
(952) 595-1301
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME138121
FL
2085R0204X
Vascular & Interventional Radiology Physician
036.123884
IL
2085R0204X
Vascular & Interventional Radiology Physician
25MA08338100
NJ
2085R0204X
Vascular & Interventional Radiology Physician
35.095903
OH
2085R0204X
Vascular & Interventional Radiology Physician
76547
GA
2085R0204X
Vascular & Interventional Radiology Physician
D0073631
MD
2085R0204X
Vascular & Interventional Radiology Physician
ME138121
FL
Other
Enumeration date
07/09/2008
Last updated
06/25/2021
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