Individual
MICHAEL M MACGREGOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
3401 N. BROAD ST., PHILADELPHIA, PA 19140
(215) 707-2111
(215) 707-2324
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-2111
(215) 707-2324
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA051136
PA
Other
Enumeration date
07/06/2006
Last updated
03/21/2017
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