Organization
MITCHELL CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY M KUMMER (OFFICE MANAGER)
(605) 996-7526
Entity
Organization
Contact information
Practice address
818 W HAVENS ST, MITCHELL, SD 57301-3830
(605) 996-7526
(605) 996-1808
Mailing address
818 W HAVENS, MITCHELL, SD 57301-3830
(605) 996-7526
(605) 996-1808
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0178
SD
Other
Enumeration date
06/03/2006
Last updated
10/01/2019
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