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Individual

DR. MICHAEL WILLIAM MCNALLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
308 E COMMERCIAL AVE, LOWELL, IN 46356-1708
(219) 696-2100
(219) 696-3660
Mailing address
596 W 128TH CT, CROWN POINT, IN 46307-7921
(219) 662-2626
(219) 662-2626

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009648A
IN
1223G0001X
General Practice Dentistry
IL

Other

Enumeration date
03/19/2007
Last updated
07/08/2007
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