Individual
DR. ANDRE MICHAEL PENNARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 W PENNSYLVANIA AVE, ANACONDA, MT 59711-1931
(406) 563-8585
Mailing address
401 W PENNSYLVANIA AVE, ANACONDA, MT 59711-1931
(406) 563-8585
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036592
GA
207P00000X
Emergency Medicine Physician
Primary
35909
MT
207P00000X
Emergency Medicine Physician
9900962
NC
207P00000X
Emergency Medicine Physician
ME112439
FL
Other
Enumeration date
01/17/2006
Last updated
09/01/2016
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