Individual
MELVIN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4953 SCHAEFER RD, DEARBORN, MI 48126-3260
(313) 436-4760
Mailing address
4953 SCHAEFER RD, DEARBORN, MI 48126-3260
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501009108
MI
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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