Michael Warren Pettinelli

NPI #1902833551 in Ely, Minnesota

Provider Information

NPI Number: 1902833551
Entity Type: Individual
Name: Michael Warren Pettinelli
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Enumeration Date: Jun 27, 2006
Last Updated: Jun 27, 2011

Practice Location

Address: 300 W CONAN ST
City: Ely
State: Minnesota
ZIP Code: 55731-1145
Phone: (218) 365-7900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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