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Individual

DR. JOHN MCNELIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
161891
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01412073
NY
Enumeration date
11/08/2006
Last updated
03/27/2008
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