Individual
MITCHELL N PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1805 HENNEPIN AVE N, GLENCOE, MN 55336-1416
(320) 864-3121
Mailing address
1805 HENNEPIN AVE N, GLENCOE, MN 55336-1416
(320) 864-3121
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
42027
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42027
MEDICAL LICENSE
MN
05
—
744490700
—
MN
Enumeration date
03/07/2006
Last updated
11/24/2020
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