Individual
DR. DANE JASON MITTENESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 17TH AVE E, ALEXANDRIA, MN 56308-5273
(320) 762-1511
Mailing address
111 17TH AVE E, ALEXANDRIA, MN 56308-5273
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301105695
MI
207P00000X
Emergency Medicine Physician
Primary
62377
MN
Other
Enumeration date
06/17/2014
Last updated
10/21/2024
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