Individual
DR. ANDREW MITCHELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2325 DOUGHERTY FERRY RD STE 100A, SAINT LOUIS, MO 63122-3356
(314) 909-1359
(314) 909-1370
Mailing address
1414 W FAIR AVE STE 190, MARQUETTE, MI 49855-5406
(906) 225-1321
(906) 228-9371
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
125.067589
IL
207X00000X
Orthopaedic Surgery Physician
Primary
2025038859
MO
207X00000X
Orthopaedic Surgery Physician
4301503918
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200164342
—
MO
Enumeration date
06/25/2015
Last updated
10/28/2025
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