Individual
JOHN MITCHELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 W ANN ARBOR TRL, PLYMOUTH, MI 48170-1694
(734) 354-8000
Mailing address
801 W ANN ARBOR TRL, PLYMOUTH, MI 48170-1694
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101002740
MI
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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