Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL WARREN PETTINELLI
ActiveMICHAEL WARREN PETTINELLI is a Family Medicine healthcare provider located in ELY, Minnesota. NPI 1902833551 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · ELY, MN
Registration Details
- NPI Number
- 1902833551
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2006 (20.132542802491 yrs)
- Last Updated
- Jun 27, 2011
- License
-
40416 (MN)
Practice Information
- Address
-
300 W CONAN STELY, MN, 557311145Browse MN providers · Browse ZIP 55731
- Phone
- 2183657900
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in ELY, MN
| Name | Credential | NPI |
|---|---|---|
| SAM P RICE | MD | 1295785574 |
| EDWARD W CIRIACY | MD | 1578505210 |
| WALTER BERTRAM LEINO | — | 1033154117 |
| JULIE DAWN HOULE | MD | 1407889702 |
| BRIELLE A LOE | MD | 1073527651 |
| JOSEPH ANTHONY BIANCO | — | 1104837863 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.