person
Ingrid Dominic Mitchell, PA
Medical Physician Assistant in Detroit, Michigan
NPI 1295750677

Ingrid Dominic Mitchell is a Medical Physician Assistant based in Bloomfield Hills, MI and is specialized in Medical. Ingrid Dominic Mitchell practices in Detroit, MI and has the professional credentials of PA. The NPI Number for Ingrid Dominic Mitchell is 1295750677 and holds a License No. 5601003504 (Michigan).

The current practice location address for Ingrid Dominic Mitchell is 18254 Livernois Ave Ste 1, Detroit, MI and can be reached out via phone at 313-861-4400 and via fax at 248-336-9137.

Location: 18254 Livernois Ave Ste 1, Detroit, MI, 48302-0320
person
Provider Profile Details
NPI Number
1295750677
Provider Name
Ingrid Dominic Mitchell
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
18254 Livernois Ave Ste 1, Detroit, MI, 48302-0320
Phone Number
313-861-4400
Fax Number
248-336-9137
Provider Enumeration Date
07/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
18254 Livernois Ave Ste 1
City
State
Zip
48221-4214
Phone Number
313-861-4400
Fax Number
248-336-9137
person
Provider Business Mailing Address Details
Address
18254 Livernois Ave Ste 1
City
State
Zip
48221-4214
Phone Number
313-861-4400
Fax Number
248-336-9137
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601003504 (Michigan)
Definition
Definition to come...
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