Individual
AMANDA MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
6625 LYNDALE AVE S STE 105, RICHFIELD, MN 55423-2673
(612) 788-8778
(612) 869-3473
Mailing address
6625 LYNDALE AVE S STE 300, RICHFIELD, MN 55423-2491
(612) 788-8778
(612) 869-3473
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1084
MN
213ES0103X
Foot & Ankle Surgery Podiatrist
135000923
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005791
—
IL
01
—
1084
PROFESSIONAL LICENSE
MN
05
—
1124470745
—
MN
01
—
135000923
PROFESSIONAL LICENSE
IL
Enumeration date
07/07/2016
Last updated
09/13/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us