Individual
ANTHONY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
85 PILGRIM ST, HIGHLAND PARK, MI 48203-3735
(313) 452-4363
Mailing address
85 PILGRIM ST, HIGHLAND PARK, MI 48203-3735
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703121175
MI
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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