Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MITCHELL CAVANAUGH
ActiveAmbulatory Care Pharmacist · JENISON, MI
Registration Details
- NPI Number
- 1932667144
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 6, 2019 (7.1280600691565 yrs)
- Last Updated
- Jan 23, 2025
- License
-
5302412556 (MI)
Practice Information
- Address
-
7782 20TH AVEJENISON, MI, 494288524Browse MI providers · Browse ZIP 49428
- Phone
- 6166858700
- Primary Specialty
-
Ambulatory Care Pharmacist
1835P2201X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.