MICHAEL HENNELLY

JEMEZ PUEBLO, NM
NPI1871553933
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NM  75-167)
Enumeration Date2006-03-24
Last Update Date2024-09-25
Business Address
MICHAEL HENNELLY MD
110 SHEEP SPRINGS
JEMEZ PUEBLO, NM 87024-0279
Phone number: 575-834-7413
Mailing Address
MICHAEL HENNELLY MD
PO BOX 279
JEMEZ PUEBLO, NM 87024-0279
Phone number: 575-834-7413
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