Individual
DR. MARK A MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
701 SUPERIOR AVE STE 4100, MUNSTER, IN 46321-4037
(219) 934-4080
(219) 934-4075
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
02003221A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
02003221A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
036-108244
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
036.108244
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200911930
—
IN
Enumeration date
03/30/2007
Last updated
12/15/2025
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