Individual
MITCHELL MIMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11015 WARWICK BLVD, NEWPORT NEWS, VA 23601-3225
(757) 591-7291
(757) 595-9518
Mailing address
509 GEESE LNDG, GLEN ALLEN, VA 23060-5885
(704) 798-9878
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102206006
VA
207Q00000X
Family Medicine Physician
218045
NC
Other
Enumeration date
04/26/2016
Last updated
08/25/2021
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