National Provider Identifier
Maxim Mitchell, MD
Maxim Mitchell, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Dunkirk, NY and a listed phone number of (716) 646-5500.
Profile Overview
- NPI
- 1194175968
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- June 13, 2016
- Last Updated
- October 10, 2019
Practice Location
- 3898 Vineyard Dr
- Dunkirk, NY 14048
Phone: (716) 646-5500
Mailing Address
- 3750 Heatherwood Dr Apt B10
- Hamburg, NY 14075-2271
Specialties
- Family Medicine Physician (207Q00000X)
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1194175968
- Entity Type
- Individual
- Last Name
- Mitchell
- First Name
- Maxim
- Credential
- MD
- Mailing Street Address
- 3750 Heatherwood Dr Apt B10
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-2271
- Mailing Country
- US
- Mailing Phone
- (701) 780-6824
- Mailing Fax
- (701) 780-4391
- Practice Street Address
- 3898 Vineyard Dr
- Practice City
- Dunkirk
- Practice State
- NY
- Practice ZIP Code
- 14048
- Practice Country
- US
- Practice Phone
- (716) 646-5500
- Enumeration Date
- June 13, 2016
- Last Updated
- October 10, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Family Medicine Physician (207Q00000X)