Organization
MICHAEL J MITCHELL MD FACS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J MITCHELL MD (OWNER PRESIDENT)
(716) 282-0349
Entity
Organization
Contact information
Practice address
620 TENTH ST, SUITE 715, NIAGARA FALLS, NY 14301
(716) 282-0349
(716) 282-4152
Mailing address
620 TENTH ST, SUITE 715, NIAGARA FALLS, NY 14301
(716) 282-0349
(716) 282-4152
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
1918411
NY
2086S0129X
Vascular Surgery Physician
Primary
1918411
NY
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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