Individual
MR. LONNIE DAVID MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPRM
Contact information
Practice address
1121 E MCNICHOLS RD, DETROIT, MI 48203-2857
(616) 365-3100
Mailing address
1121 E MCNICHOLS RD, DETROIT, MI 48203-2857
(616) 365-3100
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/24/2017
Last updated
07/21/2022
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