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Organization

MACOMB MEDICAL ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADRIAN MACGREGOR (DIRECTOR)
(309) 836-1509
Entity
Organization

Contact information

Practice address
505 E GRANT ST, SUITE 302, MACOMB, IL 61455-3352
(309) 836-1509
(309) 836-1547
Mailing address
505 E GRANT ST, SUITE 302, MACOMB, IL 61455-3352
(309) 836-1509
(309) 836-1547

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
12/13/2006
Last updated
08/22/2020
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