Individual
ELIZABETH CLAIRE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3580 ARCADE ST STE 100, VADNAIS HEIGHTS, MN 55127-7135
(651) 968-5200
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5200
(651) 730-3556
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
13550
MN
363AS0400X
Surgical Physician Assistant
2518
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2564PA
—
SC
Enumeration date
09/13/2015
Last updated
12/21/2020
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