Search › New Mexico › 207Q00000X
Michael Hennelly, MD
NPI 1871553933 · on the registry since 2006
Practice
- Address
- 110 Sheep Springs
Jemez Pueblo, NM 87024 - Phone
- (575) 834-7413
- Fax
- (575) 834-7517
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico