Individual
DR. BRADFORD KENT MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4660 S. HAGADORN ROAD, SUITE 600, EAST LANSING, MI 48823
(517) 267-2460
(517) 267-2462
Mailing address
640 S. STATE STREET, MAIL CODE 3055, DOVER, DE 19901-3530
(302) 480-1688
(302) 480-9807
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C1-0023939
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0126711000
—
WV
Enumeration date
10/02/2006
Last updated
01/07/2021
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