Individual
DR. MITCHEL VINCENT MONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1310 HIGHWAY 96 E, SUITE # 206, WHITE BEAR LAKE, MN 55110-3624
(651) 429-0101
(651) 407-3163
Mailing address
1310 HIGHWAY 96 E, SUITE # 206, WHITE BEAR LAKE, MN 55110-3624
(651) 429-0101
(651) 407-3163
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1928
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
274827400
MEDICAL ASSISTANCE
MN
Enumeration date
09/25/2006
Last updated
07/08/2007
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