Individual
MICHAEL DAVID MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4660 KENMORE AVENUE, SUITE 900, ALEXANDRIA, VA 22304-1383
(703) 461-0700
(703) 461-0803
Mailing address
224 D CORNWALL STREET NW, STE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
55657
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235281783
—
VA
05
—
30016327500002
—
VA
Enumeration date
01/17/2007
Last updated
10/14/2024
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