Individual
MR. MICHAEL L MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
2600 S HERITAGE WOODS DR, APPLETON, WI 54915-1408
(920) 225-7875
(920) 993-5003
Mailing address
122 E COLLEGE AVE, APPLETON, WI 54911-5794
(920) 996-3264
(920) 830-5970
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
143450
WI
363L00000X
Nurse Practitioner
Primary
8075
WI
Other
Enumeration date
09/15/2017
Last updated
10/16/2017
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