Individual
DR. DANIELLE E MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3200 E RACINE ST, JANESVILLE, WI 53546-2343
(608) 371-8000
(608) 371-8938
Mailing address
1808 W BELTLINE HWY, MADISON, WI 53713-2334
(608) 250-1497
(608) 250-1384
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
WILL RECEIVE 2/2008
MN
207QS0010X
Sports Medicine (Family Medicine) Physician
47498
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508054768
—
WI
Enumeration date
10/11/2007
Last updated
12/14/2020
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