Provider Demographics
NPI:1154427508
Name:MITCHELL, MARGARET M (DC)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:M
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:PEG
Other - Middle Name:MARY
Other - Last Name:MITCHELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:7801 E BUSH LAKE RD
Mailing Address - Street 2:SUITE 290
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55439-3120
Mailing Address - Country:US
Mailing Address - Phone:952-831-5015
Mailing Address - Fax:952-831-0094
Practice Address - Street 1:7801 E BUSH LAKE RD
Practice Address - Street 2:SUITE 290
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-3120
Practice Address - Country:US
Practice Address - Phone:952-831-5015
Practice Address - Fax:952-831-0094
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3940111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition