MEDICARE: DR. WILLIAM MITCHEL SEE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	36210	MO
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	36210	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477554301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM MITCHEL SEE MD

Provider Business Mailing Address
First Line	:	1508 WOODRAIL AVE
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65203-0924
Country	:	US
Telephone Number	:	573-864-9500
Fax Number	:

Provider Business Practice Location Address
First Line	:	2003 WEST BROADWAY SUITE 100
Second Line	:	BROADWAY URGENT CARE
City	:	COLUMBIA
State	:	MO
Zip	:	65202
Country	:	US
Telephone Number	:	573-777-5880
Fax Number	:	573-777-5875

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	08/21/2018

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Directions to “ DR. WILLIAM MITCHEL SEE MD” Practice Location

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