Individual
DR. MICHELLE FORNELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
2925 DEBARR RD, ANCHORAGE, AK 99508-2983
(907) 257-4916
(907) 257-4885
Mailing address
8124 SECLUSION DR, ANCHORAGE, AK 99504-3624
(907) 257-4916
(907) 257-4885
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
22456
OR
Other
Enumeration date
06/18/2006
Last updated
07/08/2007
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