Individual
CHRISTINA MCGUIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 RANDALLIA DR, FORT WAYNE, IN 46805-4638
(260) 373-4000
Mailing address
608 UNION CHAPEL RD, FORT WAYNE, IN 46845-9357
(260) 498-2020
(814) 375-2848
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.017499
OH
207Q00000X
Family Medicine Physician
02006645A
IN
207Q00000X
Family Medicine Physician
02006654A
IN
390200000X
Student in an Organized Health Care Education/Training Program
OT019001
PA
Other
Enumeration date
03/26/2019
Last updated
11/15/2024
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