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Mitchell Davis
NPI 1386054039 · on the registry since 2014 · sole proprietor
Practice
- Address
- 111312 Village Rd
Chaska, MN 55318 - Phone
- (650) 321-9999
Registry record
- Primary taxonomy
- 242T00000X
242T00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-05-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota