Individual
DR. RONNIE JOHN MIGNELLA
Active
Individual
DR. RONNIE JOHN MIGNELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD047319L
PA
207RC0000X
Cardiovascular Disease Physician
MD047319L
PA
207RI0011X
Interventional Cardiology Physician
17742
ND
207RI0011X
Interventional Cardiology Physician
2024-00880
NC
207RI0011X
Interventional Cardiology Physician
Primary
MD047319L
PA
207RI0011X
Interventional Cardiology Physician
MD2023-1388
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017016370003
—
PA
Enumeration date
05/19/2006
Last updated
05/19/2026
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