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Individual

MITCHELL BUNNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
1 MEDICAL PLAZA DR, ROSEVILLE, CA 95661-3037
(916) 733-3777
(916) 454-6780
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A15041
CA
208M00000X
Hospitalist Physician
Primary
20A15041
CA

Other

Enumeration date
07/09/2015
Last updated
11/29/2023
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