Individual
DR. JO ANN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
50 NORTH PERRY, PONTIAC, MI 48342
(248) 338-5516
(248) 338-5547
Mailing address
50 NORTH PERRY, PONTIAC, MI 48342
(248) 338-5516
(248) 338-5547
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101011682
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10011510005
WELLNESS
MI
01
—
4944A
CAPE
MI
01
—
JM011682
BCBS
MI
01
—
P89197
BCN
—
Enumeration date
07/12/2006
Last updated
07/08/2007
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