Organization
U.P. PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH D MITCHELL DPM (CEO)
(248) 996-6465
Entity
Organization
Contact information
Practice address
23999 NORTHWESTERN HWY, SUITE 220, SOUTHFIELD, MI 48075-2578
(248) 996-6465
(248) 996-6469
Mailing address
23999 NORTHWESTERN HIGHWAY, SUITE 220, SOUTHFIELD, MI 48075
(248) 996-6465
(248) 996-6469
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001869
MI
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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