Individual
DOUGLAS JUSTIN MCGUIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1725 N 5TH ST, TERRE HAUTE, IN 47804-4010
(812) 242-3005
(812) 242-3054
Mailing address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 242-3005
(812) 242-3054
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
01065621A
IN
2086S0105X
Surgery of the Hand (Surgery) Physician
49807
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00718154
RAILROAD MEDICARE
IN
01
—
P00866722
RAILROAD MEDICARE
IN
Enumeration date
08/10/2007
Last updated
06/20/2013
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