Individual
JOHN P. MACKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3998 RED LION ROAD, PHILADELPHIA, PA 19114-1436
(952) 595-1301
(612) 294-4903
Mailing address
11995 SINGLETREE LN, SUITE 500, EDEN PRAIRIE, MN 55344-5347
(952) 595-1301
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
25MA08727800
NJ
2085B0100X
Body Imaging Physician
MD437887
PA
2085R0202X
Diagnostic Radiology Physician
25MA08727800
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
MD437887
PA
Other
Enumeration date
04/30/2008
Last updated
07/25/2012
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