Individual
THOMAS MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1511 PARK AVE, COLUMBUS, WI 53925-2401
(920) 623-0377
(920) 623-5252
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36508
WI
Other
Enumeration date
03/17/2006
Last updated
03/16/2010
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