MS. MARY MCENELLY, PA C
Physician Assistant
Active
Individual
NPI: 1215993811
Practice Address
120 LABREE AVENUE SOUTHNORTHWEST MEDICAL CENTER MENTAL HEALTH DIVISION
Thief River Falls, MN 56701
Phone: (218) 683-4351
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 9315 (MN) |
Frequently Asked Questions
NPI 1215993811 is the National Provider Identifier for MS. MARY MCENELLY, PA C, a Physician Assistant provider located in Thief River Falls, MN. This NPI was enumerated on April 22, 2006.
MS. MARY MCENELLY, PA C practices at 120 LABREE AVENUE SOUTH, NORTHWEST MEDICAL CENTER MENTAL HEALTH DIVISION, Thief River Falls, MN 56701.
Quick Facts
- NPI
- 1215993811
- Type
- Individual
- Enumerated
- Apr 22, 2006
- Last Updated
- Jul 8, 2007
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