Individual
TIMOTHY A MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27 BRENTWOOD RD, CAPE ELIZABETH, ME 04107-2224
(207) 767-1644
Mailing address
27 BRENTWOOD RD, CAPE ELIZABETH, ME 04107-2224
(207) 767-1644
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
82182
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265800099
—
ME
Enumeration date
08/04/2006
Last updated
06/12/2009
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