Organization
HOPE MITCHELL MD LLC
Active
Other names
Mitchell Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOPE MITCHELL M.D. (OWNER)
(419) 872-4673
Entity
Organization
Contact information
Practice address
815 COMMERCE DR, PERRYSBURG, OH 43551-5255
(419) 871-3737
(419) 873-8329
Mailing address
815 COMMERCE DR, PERRYSBURG, OH 43551-5255
(419) 871-3737
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0845852
MEDICARE
OH
01
—
DD1846
RAILROAD MEDICARE
OH
01
—
H065730
MEDICARE
OH
01
—
H107860
MEDICARE NUMBER
OH
01
—
P00212955
RAILROAD PTAN
OH
Enumeration date
11/14/2007
Last updated
02/10/2023
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