Individual
BRAD MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1939 OBERLIN AVE, LORAIN, OH 44052-3959
(440) 963-7042
Mailing address
906 RIVERSIDE DR, ELYRIA, OH 44035-7047
(440) 755-4258
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.005666
OH
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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