Individual
DONALD W MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
25720 COPPER KING WAY, CALUMET, MI 49913-2525
(906) 337-5252
Mailing address
25720 COPPER KING WAY, CALUMET, MI 49913-2525
(906) 337-5252
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003345
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0258560001
MEDICARE DME
MI
05
—
2674540
—
MI
Enumeration date
07/26/2006
Last updated
05/21/2020
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