Individual
DR. DANIEL RAY MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 E STATE ST, ALLIANCE, OH 44601-4936
(330) 821-7931
Mailing address
101 LORENTZ ST, ALLIANCE, OH 44601-5044
(330) 821-7931
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
75691
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2109391
—
OH
Enumeration date
02/21/2007
Last updated
07/08/2007
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