Individual
JERALD MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 3RD AVE N, BIWABIK, MN 55708-3032
(218) 865-4663
(218) 865-0100
Mailing address
PO BOX 11236, SAINT PAUL, MN 55111-0236
(651) 795-9596
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
FBL-21788-51176
MN
Other
Enumeration date
09/11/2019
Last updated
10/26/2025
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