Individual
MRS. ERICA F MITTLEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
310 N 9TH ST, BISMARCK, ND 58501-4508
(701) 530-8800
(701) 530-8750
Mailing address
310 N 9TH ST, BISMARCK, ND 58501-4508
(701) 530-8800
(701) 530-8750
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0416
ND
Other
Enumeration date
08/11/2009
Last updated
09/23/2009
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