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Individual
PATRICK J. MCNELLIS
Active
Individual
PATRICK J. MCNELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01059499A
IN
208M00000X
Hospitalist Physician
036-055852
IL
208M00000X
Hospitalist Physician
Primary
4301101997
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000743297
BCBS
IN
05
—
036055852
—
IL
05
—
200989440
—
IN
Enumeration date
08/30/2006
Last updated
11/20/2012
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