Individual
MR. JOHN MITTELBRUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
214 N WEST AVE STE B, JACKSON, MI 49201-1903
(517) 783-6670
(517) 783-5310
Mailing address
3073 SHIRLEY DR, JACKSON, MI 49201-7010
(517) 990-6211
(517) 990-6212
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501302779
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C80918
BCBS
MI
Enumeration date
08/21/2023
Last updated
02/10/2025
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