Individual
AMIT MITTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15655 37TH AVE N STE 100, PLYMOUTH, MN 55446-4003
(630) 632-2648
(612) 230-8769
Mailing address
15655 37TH AVE N STE 100, PLYMOUTH, MN 55446-4003
(630) 632-2648
(612) 230-8769
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
66152
MN
Other
Enumeration date
05/23/2018
Last updated
01/22/2024
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