Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | OS004545L | PA |
N | 207XS0106X | Orthopaedic Hand Surgeon | OS004545L | PA |
NPI | 1235103961 |
---|---|
Provider Name | Dr. Michael F. Mitrick |
First Address | York, PA 17402-4723 |
Second Address | York, PA 17403-2607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 09/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03182100 | CAPITAL BLUE CROSS (01) | PA |
177124 | HIGHMARK (01) | PA |
202459 | HEALTH AMERICA (01) | PA |
CK4276 | MEDICARE RR PALMETO GBA (01) | PA |
D98591 | (02) | PA |