Provider Demographics
NPI:1043771397
Name:MITCHELL, GARRETT EDWARD (MD)
Entity type:Individual
Prefix:
First Name:GARRETT
Middle Name:EDWARD
Last Name:MITCHELL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6201 GREENLEIGH AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-2004
Mailing Address - Country:US
Mailing Address - Phone:410-933-6423
Mailing Address - Fax:410-500-4266
Practice Address - Street 1:601 N CAROLINE STREET
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21264-2640
Practice Address - Country:US
Practice Address - Phone:443-997-2663
Practice Address - Fax:410-614-1451
Is Sole Proprietor?:No
Enumeration Date:2019-03-28
Last Update Date:2024-07-24
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Provider Licenses
StateLicense IDTaxonomies
MDD0100923207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery