MS. Mary Mcenelly, PA C

NPI #1215993811 in Thief River Falls, Minnesota

Provider Information

NPI Number: 1215993811
Entity Type: Individual
Name: MS. Mary Mcenelly, PA C
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physician Assistant
Credential: PA C
Enumeration Date: Apr 22, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 120 LABREE AVENUE SOUTH
Address 2: NORTHWEST MEDICAL CENTER MENTAL HEALTH DIVISION
City: Thief River Falls
State: Minnesota
ZIP Code: 56701
Phone: (218) 683-4351

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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