| NPI | 1851124655 |
|---|---|
| Professional Name | MITCHELL WILLIAM EJNIK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 12006) |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-10-31 |