Individual
IAN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14700 28TH AVE N STE 20, PLYMOUTH, MN 55447-4876
(763) 559-3779
Mailing address
14700 28TH AVE N STE 20, PLYMOUTH, MN 55447-4876
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
69265
MN
207L00000X
Anesthesiology Physician
70226-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2017
Last updated
02/07/2025
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