MR. Michael John Dellaneve, HS3

NPI #1912131608 in Ketchikan, Alaska

Provider Information

NPI Number: 1912131608
Entity Type: Individual
Name: MR. Michael John Dellaneve, HS3
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Credential: HS3
Enumeration Date: May 8, 2009
Last Updated: May 8, 2009

Practice Location

Address: 1300 STEDMAN ST
City: Ketchikan
State: Alaska
ZIP Code: 99901-6661
Phone: (907) 228-0320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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