Individual
MITCHELL DEETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
155 RADIO DR, WOODBURY, MN 55125-2619
(952) 831-8742
Mailing address
27924 565TH ST, PINE ISLAND, MN 55963-8619
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1990
MN
Other
Enumeration date
08/13/2015
Last updated
10/27/2020
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