Michael Hennelly, MD
NPI #1871553933 in Jemez Pueblo, New Mexico
Provider Information
- NPI Number
- 1871553933
- Entity Type
- Individual
- Name
- Michael Hennelly, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- MD
- Enumeration Date
- Mar 24, 2006
- Last Updated
- Sep 25, 2024
Practice Location
- Address
- 110 SHEEP SPRINGS
- City
- Jemez Pueblo
- State
- New Mexico
- ZIP Code
- 87024-0279
- Phone
- (575) 834-7413
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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