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Organization
PENNELLA INTEGRATED HEALTH PLLC
Active
Organization
PENNELLA INTEGRATED HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL PENNELLA JR. MD (PRESIDENT/CEO)
(908) 208-8926
Entity
Organization
Contact information
Practice address
607 SHELBY ST STE 700, DETROIT, MI 48226-3282
(908) 208-8926
Mailing address
607 SHELBY ST, DETROIT, MI 48226-3268
(908) 208-8926
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
261QP3300X
Pain Clinic/Center
—
NULL
Other
Enumeration date
04/24/2026
Last updated
05/14/2026
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