Individual
DR. MICHELLE DENISE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
E4190
AR
207VX0000X
Obstetrics Physician
Primary
E4190
AR
Other
Enumeration date
09/01/2005
Last updated
07/18/2007
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