Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 26007 | MN |
NPI | 1013956317 |
---|---|
Provider Name | Dr. James Murray Mitchell |
First Address | Edina, MN 55435-4227 |
Second Address | Edina, MN 55435-4227 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 30/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
793202200 | (05) | MN |
C46837 | (02) | MN |