Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ingrid Dominic Mitchell, PA

Individual provider Medical Physician Assistant · NPI 1295750677

Ingrid Dominic Mitchell, PA is a Medical Physician Assistant in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

18254 Livernois Ave Ste 1
Detroit, MI 48221-4214
Phone: (313) 861-4400
Fax: (248) 336-9137
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601003504 (MI)

Record details

NPI number1295750677
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 13, 2006
Last updated in NPPESJune 1, 2016

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