Individual
JOHN B MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 MID TOWNE ST NE, STE 304, GRAND RAPIDS, MI 49503
(215) 746-7222
Mailing address
1000 PARCHMENT DR SE, GRAND RAPIDS, MI 49546-3663
(215) 746-7222
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301095335
MI
2084P0800X
Psychiatry Physician
MT184675
PA
Other
Enumeration date
07/24/2007
Last updated
01/31/2020
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