Individual
PETER FENNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
559 EDGEWOOD PL, WHITEFISH, MT 59937-2358
(406) 471-2498
Mailing address
559 EDGEWOOD PL, WHITEFISH, MT 59937-2358
(406) 471-2498
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHI-CHI-LIC-6130
MT
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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