Individual
DR. DORAN S MIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, BOX 652, ROCHESTER, NY 14642-0001
(585) 275-6772
Mailing address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
65742
MN
363A00000X
Physician Assistant
280161
NY
Other
Enumeration date
03/15/2013
Last updated
07/07/2023
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