| Organization Name: | MITCHELL SURGICAL PROF. L.L.C. |
| NPI Number: | 1215007778 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BETTY HIEB (PRACTICE MANAGER) |
| Mailing Address: | 2200 N Kimball St Ste 200 Mitchell |
| State: | SD US |
| Postal Code: | 573011122 |
| Phone Number: | 6059968989 |
| Fax Number: | 6059966910 |
| NPI Enumeration Date: | 11/09/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0129X |
| License Number: | DL000252 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Vascular Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |