Individual
MICHELLE L PERSUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 PRESIDENTIAL BLVD, SUITE 100, BALA CYNWYD, PA 19004-1017
(610) 667-3020
(610) 667-1817
Mailing address
1 PRESIDENTIAL BLVD, SUITE 100, BALA CYNWYD, PA 19004-1017
(610) 667-3020
(610) 667-1817
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD073596L
PA
Other
Enumeration date
09/20/2006
Last updated
01/02/2011
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