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INGRID DOMINIC MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
18254 LIVERNOIS AVE STE 1, DETROIT, MI 48221-4214
(313) 861-4400
(248) 336-9137
Mailing address
390 ENTERPRISE CT, SUITE 103, BLOOMFIELD HILLS, MI 48302-0320
(248) 336-4000
(248) 336-9137

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601003504
MI

Other

Enumeration date
07/13/2006
Last updated
06/01/2016
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