Individual provider · Type 1 NPI

Ingrid Dominic Mitchell, P.A.

Medical Physician Assistant · Detroit, MI

NPI number 1295750677 Active

Practice location

18254 Livernois Ave Ste 1
Detroit, MI 48221-4214

Call (313) 861-4400 Map

Fax (248) 336-9137

Mailing address

390 Enterprise Ct, Suite 103
Bloomfield Hills, MI 48302-0320

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601003504 (MI)

Medical Physician Assistant: Definition to come...

2 other providers at this address

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About NPI 1295750677

Ingrid Dominic Mitchell, P.A.'s National Provider Identifier is 1295750677, issued on Jul 13, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Detroit, MI. The record was last updated on Jun 1, 2016.