| NPI | 1669462602 |
|---|---|
| Doing Business As | KENNETH MITCHELL |
| Entity Type | Organization |
| Authorized Contact | PAMELA H STUART Manager 313-831-9264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901001869) |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2020-08-22 |