Organization
U P PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH MITCHELL DPM (OWNER)
(248) 996-6465
Entity
Organization
Contact information
Practice address
23999 NORTHWESTERN HWY, SUITE 220B, SOUTHFIELD, MI 48075-2578
(248) 996-6465
Mailing address
23999 NORTHWESTERN HWY, SUITE 220B, SOUTHFIELD, MI 48075-2578
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
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