Individual
JANEIL MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1818 N MEADE ST # 240W, APPLETON, WI 54911-3454
(920) 731-8131
Mailing address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
69693-20
WI
208600000X
Surgery Physician
Primary
MD460244
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
03/17/2010
Last updated
05/02/2019
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