Individual
FREDRICK MITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 W MAIN ST, VALLEY CITY, ND 58072-3250
(701) 845-8060
(701) 845-8067
Mailing address
401 3RD ST SE, JAMESTOWN, ND 58401-4247
(701) 253-5300
(701) 253-5402
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5337
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0121791
VALLEY CITY MEDICA #
ND
01
—
137121
UCARE #
ND
05
—
15381
—
ND
01
—
26265
NDBS VC #
ND
01
—
323S8MI
MNBS #
ND
01
—
45611
LHS #
ND
05
—
596822400
—
ND
01
—
939371
ARAZ #
ND
01
—
DA9061014591
VALLEY CITY PREF 1 #
ND
01
—
HP23755
HEALTHPARTNERS #
ND
Enumeration date
06/08/2006
Last updated
11/15/2012
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