NPI 1013528900

Mitchell J Mimbach, PA

Practitioner Physician Assistant Crosby, MN

Practice location

Address: 320 East Main St, Crosby, MN 56441
Phone: (218) 546-7000
Fax: (218) 546-4400

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 13451 (MN)

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Registry record

NPI: 1013528900
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Aug 2020
Record last updated: 11 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.