Individual
DR. SHANTI RENEE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
39450 W 12 MILE RD, NOVI, MI 48377-3600
(248) 661-7393
Mailing address
39450 W 12 MILE RD, NOVI, MI 48377-3600
(248) 661-7393
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301101308
MI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
4301101308
MI
Other
Enumeration date
06/18/2012
Last updated
03/18/2021
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