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Individual

JOHN EVAN MCGINNISS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3400 SPRUCE ST., 839 WEST GATES BUILDING, PHILADELPHIA, PA 19104
(215) 665-3718
Mailing address
3400 SPRUCE ST., 839 WEST GATES BUILDING, PHILADELPHIA, PA 19104
(215) 665-3718

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD458872
PA

Other

Enumeration date
04/05/2011
Last updated
11/14/2018
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