Individual
DR. MATTHEW JEROME MCGINNISS
Active
Individual
DR. MATTHEW JEROME MCGINNISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD FACMG
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
ABMG-96135
CA
170100000X
Ph.D. Medical Genetics
Primary
DRN 9
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ABMG-96135
MEDICAL GENETICS PHD
—
01
—
DRN9
CL GENETIC MOLECULAR BIOL
CA
Enumeration date
06/22/2007
Last updated
07/08/2007
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