Individual
MANDALYN J MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
802 N RIVERSIDE RD STE G50, SAINT JOSEPH, MO 64507-2510
(816) 671-4888
(816) 671-4890
Mailing address
5301 FARAON ST STE 120, SAINT JOSEPH, MO 64506-3512
(816) 671-4888
(816) 671-4890
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2022016390
MO
208600000X
Surgery Physician
5101023019
MI
Other
Enumeration date
06/27/2017
Last updated
10/09/2024
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