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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

ANDREW J MITCHELL, MD
20234 FARMINGTON RD
LIVONIA, MI48152-1412
 Phone: 248-474-8440
 Fax: 248-474-5714
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for ANDREW J MITCHELL · (Male)

NPI Number 1790705044
Credentials MD
Entity Individual
Enumeration date 07/20/2006
Last updated 07/08/2007 - About 9 years ago
Sole proprietor 1 No
Identifiers
MI License # 4301039399
MI Medicaid 4811740
Medicare (Unspecified) P11640002
Medicare UPIN A77729
Hospital affiliation(s)
  • ST JOSEPH MERCY HOSPITAL - (Acute Care)
    5301 E HURON RIVER DR
    ANN ARBOR, MI 48106
  • ST MARY MERCY HOSPITAL - (Acute Care)
    36475 FIVE MILE ROAD
    LIVONIA, MI 48154
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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