Individual
PAUL J MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118
Mailing address
1200 6TH AVE N, SAINT CLOUD, MN 56303-2735
(320) 252-5131
(320) 240-2118
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36639
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00T48MI
BLUE CROSS BLUE SHIELD
—
01
—
1008560
PREFERRED ONE
—
01
—
110926
U-CARE
—
01
—
1701041
MEDICA HEALTH PLANS
—
01
—
2114023
FIRST HEALTH PLAN
—
01
—
357714700
MEDICAL ASSISTANCE (MA)
—
01
—
600898
ARAZ GROUP/AMERICA'S PPO
—
01
—
HP25487
HEALTH PARTNERS
—
Enumeration date
10/25/2005
Last updated
11/29/2011
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