Individual
MR. JOHN MARVIN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 MESSIMER DR, NEWARK, OH 43055-1842
(220) 564-1880
(220) 564-1881
Mailing address
30 MESSIMER DR, NEWARK, OH 43055-1842
(220) 564-1880
(220) 564-1881
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
21706
WV
208600000X
Surgery Physician
Primary
35.084820
OH
208600000X
Surgery Physician
35084820
OH
208600000X
Surgery Physician
MD417322
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2541566
—
OH
05
—
3810001266
—
WV
Enumeration date
09/27/2005
Last updated
03/18/2021
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