# PENNELLA INTEGRATED HEALTH PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508702333
- **Authorized official:** DR. SAMUEL PENNELLA JR. MD (PRESIDENT/CEO)
- **Authorized official phone:** (908) 208-8926

## Contact information

- **Practice address:** 607 SHELBY ST STE 700, DETROIT, MI 48226-3282
- **Practice address phone:** (908) 208-8926
- **Mailing address:** 607 SHELBY ST, DETROIT, MI 48226-3268
- **Mailing address phone:** (908) 208-8926

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 261QP3300X | Pain Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/24/2026
- **Last updated:** 05/14/2026