Individual
DR. DONALD E MITZELFELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3915 BARRING TRACE, PEORIA, IL 61615
(309) 689-3030
(309) 689-6280
Mailing address
1120 E WAR MEMORIAL DR, PEORIA HEIGHT, IL 61616
(309) 685-0100
(309) 685-0172
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036039927
IL
Other
Enumeration date
10/02/2006
Last updated
07/09/2007
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