person
Jerald Mitchell
Lodging Provider in Biwabik, Minnesota
NPI 1396395349

Jerald Mitchell is a Lodging Provider based in Saint Paul, MN. Jerald Mitchell practices in Biwabik, MN. The NPI Number for Jerald Mitchell is 1396395349 and holds a License No. FBL-21788-51176 (Minnesota).

The current practice location address for Jerald Mitchell is 120 3Rd Ave N, Biwabik, MN and can be reached out via phone at 218-865-4663 and via fax at 218-865-0100.

Location: 120 3Rd Ave N, Biwabik, MN, 55111-0236
person
Provider Profile Details
NPI Number
1396395349
Provider Name
Jerald Mitchell
Credential
Provider Entity Type
Individual
Gender
Male
Address
120 3Rd Ave N, Biwabik, MN, 55111-0236
Phone Number
218-865-4663
Fax Number
218-865-0100
Provider Enumeration Date
09/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
120 3Rd Ave N
City
State
Zip
55708-3032
Phone Number
218-865-4663
Fax Number
218-865-0100
person
Provider Business Mailing Address Details
Address
120 3Rd Ave N
City
State
Zip
55708-3032
Phone Number
218-865-4663
Fax Number
218-865-0100
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Lodging
Speciality
-
Taxonomy
License No.
FBL-21788-51176 (Minnesota)
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
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