WYATT I MITZEL

FARGO, ND
NPI1770518599
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ND  PAC0269)
Enumeration Date2006-07-11
Last Update Date2019-07-10
Business Address
WYATT I MITZEL PA-C
3000 32ND AVE S
FARGO, ND 58103-6132
Phone number: 701-364-8000
Mailing Address
WYATT I MITZEL PA-C
400 E 3RD ST
DULUTH, MN 55805-1951
Phone number:
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