Patrick J. Mcnellis, MD
Hospitalist in Saint Joseph, MI. Individual provider (NPI-1).
NPI number1487764676
StatusActive
Last updated in NPPESNov 20, 2012
Details
- NPI
- 1487764676
- Entity type
- Individual (NPI-1)
- Name
- Patrick J. Mcnellis
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2006
- Last updated
- Nov 20, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 4301101997 | MI | Yes |
| 208M00000X | Hospitalist | 036-055852 | IL | |
| 207R00000X | Internal Medicine | 01059499A | IN |
Practice location
1234 Napier AveSaint Joseph, MI 49085-2112
Phone 269-985-4632 · Fax 269-985-4623
Mailing address
6416 Deans Hill RdBerrien Center, MI 49102-9750
Phone 269-985-4632
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