Individual
MITCHELL CLARK PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4309 W MEDICAL CENTER DR STE A200, MCHENRY, IL 60050-8437
(815) 759-8070
(815) 759-4931
Mailing address
4309 W MEDICAL CENTER DR STE A200, MCHENRY, IL 60050-8437
(815) 759-8070
(815) 759-4931
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110007847
VA
363A00000X
Physician Assistant
Primary
085009855
IL
363A00000X
Physician Assistant
EL13328
NH
363AS0400X
Surgical Physician Assistant
PA006322
GA
363AS0400X
Surgical Physician Assistant
PA9102913
FL
Other
Enumeration date
12/11/2008
Last updated
01/10/2024
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