Provider Demographics
NPI:1013956317
Name:MITCHELL, JAMES MURRAY (M D)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MURRAY
Last Name:MITCHELL
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3100 W 70TH ST
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-4227
Mailing Address - Country:US
Mailing Address - Phone:952-848-8312
Mailing Address - Fax:952-848-8313
Practice Address - Street 1:3100 W 70TH ST
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-4227
Practice Address - Country:US
Practice Address - Phone:952-848-8312
Practice Address - Fax:952-848-8313
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN26007207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN793202200Medicaid
MN180000049Medicare PIN
MNC46837Medicare UPIN
MN793202200Medicaid