Individual
DR. MITCHELL NEEDLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
16A PARK PLACE, SWANSEA, IL 62226
(618) 234-8333
(618) 234-8349
Mailing address
16A PARK PLACE, SWANSEA, IL 62226
(618) 234-8333
(618) 234-8349
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
000545
MO
213E00000X
Podiatrist
Primary
016003942
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306939307
—
MO
Enumeration date
02/16/2006
Last updated
11/14/2011
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