Individual
DR. TODD RYAN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 NE GLEN OAK AVE, EMERGENCY MEDICINE, PEORIA, IL 61603-3133
(309) 655-6710
Mailing address
PO BOX 113, DEER CREEK, IL 61733-0113
(309) 447-6268
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.131197
IL
Other
Enumeration date
08/07/2009
Last updated
12/08/2021
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