Dr MICHAEL M HENNELLY MD is a male medical professional, specializing in Family Medicine. He graduated in 1974 from University Of Missouri, Columbia School Of Medicine.
PUEBLO OF JEMEZ
110 SHEEP SPRINGS
JEMEZ HEALTH CENTER
JEMEZ PUEBLO
NM
87024
Tel: 5758347413
| Npi | 1871553933 |
| Pac Id | 3577515808 |
| Professional Enrollment Id | I20151210001969 |
| Last Name | HENNELLY |
| First Name | MICHAEL |
| Middle Name | M |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | FAMILY MEDICINE |
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| Organization Legal Name | PUEBLO OF JEMEZ |
| Group Practice Pac Id | 3971584509 |
| Number Of Group Practice Members | 7 |
| Line 1 Street Address | 110 SHEEP SPRINGS |
| Line 2 Street Address | JEMEZ HEALTH CENTER |
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| City | JEMEZ PUEBLO |
| State | NM |
| Zip Code | 87024 |
| Phone Number | 5758347413 |
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| Professional Accepts Medicare Assignment | Y |
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