Individual
ELIZABETH MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 TRI PARK WAY, APPLETON, WI 54914-1658
(920) 831-0070
Mailing address
10 TRI PARK WAY, APPLETON, WI 54914-1658
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33094
WI
Other
Enumeration date
04/30/2010
Last updated
03/06/2011
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