Individual
DR. MICHAEL J. MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 W COUNTRY CLUB RD STE 202, ROSWELL, NM 88201-5225
(575) 622-2911
(575) 622-2598
Mailing address
601 W COUNTRY CLUB RD STE 202, ROSWELL, NM 88201-5225
(575) 622-2911
(575) 622-2598
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
MD00039985
WA
207Y00000X
Otolaryngology Physician
Primary
MD2020-1138
NM
Other
Enumeration date
10/03/2006
Last updated
01/15/2021
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