Individual
MITCHELL WILLIAM EJNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1526 30TH ST NW, BEMIDJI, MN 56601-4140
(320) 894-0094
(218) 759-4807
Mailing address
1526 30TH ST NW, BEMIDJI, MN 56601-4140
(218) 751-0887
(218) 759-4807
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12006
MN
Other
Enumeration date
08/26/2024
Last updated
04/15/2025
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