Individual
DR. MITCHELL S MEDNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1514 E MOYAMENSING AVE, PHILADELPHIA, PA 19147
(615) 345-5400
Mailing address
3 MARYLAND FARMS STE 200, BRENTWOOD, TN 37027-5005
(615) 345-5400
(615) 345-5405
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
OS006362E
PA
208VP0000X
Pain Medicine Physician
0S006362E
PA
Other
Enumeration date
04/18/2007
Last updated
08/13/2018
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