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Individual

DR. GLENN WHITTAKER MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D,

Contact information

Practice address
14528 S OUTER 40 STE 100, CHESTERFIELD, MO 63017-5743
(314) 628-3838
Mailing address
14528 S OUTER 40 STE 100, CHESTERFIELD, MO 63017-5743
(314) 628-3838

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M0829
TX

Other

Enumeration date
11/16/2006
Last updated
07/08/2008
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