# MICHAEL GUTHRIE MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710486188
- **Authorized official:** DR. MICHAEL GUTHRIE MD (PRESIDENT)
- **Authorized official phone:** (215) 432-7804

## Contact information

- **Practice address:** 2305 N BROAD ST, PHILADELPHIA, PA 19132-4504
- **Practice address phone:** (215) 432-7804
- **Mailing address:** 764 N TAYLOR ST, PHILADELPHIA, PA 19130-2512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | BG6427644 | PA | Yes |
| 208VP0000X | Pain Medicine Physician | BG6427644 | PA | — |
| 208VP0014X | Interventional Pain Medicine Physician | BG6427644 | PA | — |

## Other

- **Enumeration date:** 02/12/2018
- **Last updated:** 02/12/2018
