Individual provider · Type 1 NPI
Mitchell E. F. Travis, MD
Diagnostic Radiology Physician · Fort Wayne, IN
NPI number
1336174598
Active
Practice location
10517 Maple Springs Cv
Fort Wayne, IN 46845-2132
Fax (612) 294-4903
Mailing address
3707 New Vision Dr
Fort Wayne, IN 46845-1702
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD60447306 (WA) |
| Diagnostic Radiology Physician Primary | 2085R0202X | 01043985 (IN) |
| Diagnostic Radiology Physician | 2085R0202X | 1876 (MN) |
| Diagnostic Radiology Physician | 2085R0202X | 51163 (TN) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1336174598
Mitchell E. F. Travis, MD's National Provider Identifier is 1336174598, issued on Jul 12, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 5, 2021.