Individual
MICHAEL MCNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
85 BARIBEAU DR, BRUNSWICK, ME 04011-3249
(207) 729-6686
(207) 729-6687
Mailing address
85 BARIBEAU DR, BRUNSWICK, ME 04011-3249
(207) 729-6686
(207) 729-6687
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD164
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039324
ANTHEM
ME
05
—
133310099
—
ME
01
—
2492941
AETNA
ME
01
—
M1310
CIGNA
ME
Enumeration date
12/08/2006
Last updated
05/09/2008
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