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Individual

DR. MICHAEL F. MITRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1750 5TH AVE, SUITE 201, YORK, PA 17403-2607
(717) 848-2297
(717) 848-2941
Mailing address
1855 POWDER MILL RD, YORK, PA 17402-4723
(717) 848-4800
(717) 741-9867

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS004545L
PA
207XS0106X
Orthopaedic Hand Surgery Physician
OS004545L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03182100
CAPITAL BLUE CROSS
PA
01
177124
HIGHMARK
PA
01
202459
HEALTH AMERICA
PA
01
CK4276
MEDICARE RR PALMETO GBA
PA
Enumeration date
02/17/2006
Last updated
02/09/2009
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