Individual
DR. IRENE F CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
416 CONNABLE AVE, PETOSKEY, MI 49770-2212
(231) 487-4086
Mailing address
416 CONNABLE AVE, PETOSKEY, MI 49770-2212
(231) 487-4086
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301083187
MI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
4301083187
MI
207RH0003X
Hematology & Oncology Physician
Primary
4301083187
MI
Other
Enumeration date
12/12/2005
Last updated
09/10/2013
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