Michael Warren Pettinelli in Ely - Family Medicine

Michael Warren Pettinelli - NPI 1902833551

Michael Warren Pettinelli is a Family Medicine in Ely, Minnesota. Michael Warren Pettinelli practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Michael Warren Pettinelli is 1902833551. The last update date is 2011-06-27.

Michael Warren Pettinelli's current location address is 300 W Conan St, Ely, Minnesota. You can contact this provider via phone number 2183657900. The mailing address for Michael Warren Pettinelli is 300 W Conan St, Ely, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Warren Pettinelli
Address 300 W Conan St, Ely, Minnesota
Phone Number 2183657900
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1902833551
Provider Enumeration Date 2006-06-27
Last Updated Date 2011-06-27

Provider Mailing Address Detail

Address 300 W Conan St
City Ely
State Minnesota (MN)
Post Code 557311145
Phone Number 2183657900
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 40416
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
31625400 WI --
652203 MN --

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FAQs about Michael Warren Pettinelli

What is the unique identifier code issued to Michael Warren Pettinelli by the Centers for Medicare & Medicaid Services?

The Michael Warren Pettinelli has been assigned the NPI (National Provider Identifier) 1902833551. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Michael Warren Pettinelli's facilities are geographically located?

The facilities of Michael Warren Pettinelli are physically situated at the following location: 300 W Conan St, Ely, MN, 557311145.

What is the Michael Warren Pettinelli's area of specialization and corresponding taxonomy classification?

The Michael Warren Pettinelli's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.

When was the Michael Warren Pettinelli's 1902833551 issued?

The Michael Warren Pettinelli's 1902833551 was issued on 2006-06-27.

When was the Michael Warren Pettinelli's information last updated?

The Michael Warren Pettinelli's information was last updated on 2011-06-27.

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