Individual
ANDREW MACGREGOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2301 25TH ST S, FARGO, ND 58103-6104
(701) 417-6000
Mailing address
5995 58TH ST S, FARGO, ND 58104-5725
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0712
ND
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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