NPI 1649721895
Grant Davis Mitchell, MOTRL
Practice location
- Address
- 1412 Iowa Ave W, Falcon Heights, MN 55108-2124
- Phone
- (218) 407-0820
Registered specialties
Rehabilitation Hospital Unit
Primary
Registry record
- NPI
- 1649721895
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 21 Oct 2016
- Record last updated
- 21 Oct 2016
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.