Individual
DR. MITCHELL ANDREW PET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, DIV SURG PLASTICS, SAINT LOUIS, MO 63110-1003
(314) 362-7388
(833) 301-0853
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-7388
(833) 301-0853
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2018012226
MO
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
2018012226
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200053721
—
MO
Enumeration date
03/22/2011
Last updated
04/17/2025
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