Individual
DR. LOUIS JAMES CANNELLA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2009 10TH ST, MENOMINEE, MI 49858-2105
(906) 863-8853
Mailing address
2009 10TH ST, MENOMINEE, MI 49858-2105
(906) 863-8853
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301040183
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4387698
—
MI
Enumeration date
01/26/2007
Last updated
07/09/2007
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