Individual
DR. DAVID A MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
12 W MAIN ST, FORT KENT, ME 04743-1231
(207) 834-3124
(207) 834-3127
Mailing address
12 W MAIN ST, FORT KENT, ME 04743-1231
(207) 834-3124
(207) 834-3127
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT734
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256900099
—
ME
Enumeration date
03/13/2007
Last updated
12/22/2008
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