NPI 1013929488
Tina Marie Mitchell, CPHT
Practice location
- Address
- 211 W Monroe St, Bangor, MI 49013-1330
- Phone
- (269) 427-7706
- Fax
- (269) 427-5752
- Mailing address
- 65288 County Road 380, Bangor, MI 49013-9420
Registered specialties
Pharmacy Technician
Primary
Registry record
- NPI
- 1013929488
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Aug 2006
- Record last updated
- 8 Jul 2007
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.