Individual
MISS MICHELLE MCGINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-8812
Mailing address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5565
MA
Other
Enumeration date
10/21/2015
Last updated
08/19/2020
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