Individual
DR. JOHN KELLOGG MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3123 SHORE DR, SUITE #102, MARINETTE, WI 54143-4287
(715) 732-2299
(715) 732-2419
Mailing address
3123 SHORE DR, SUITE #102, MARINETTE, WI 54143-4287
(715) 732-2299
(715) 732-2419
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25995
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110047469
MEDICARE RAILROAD
WI
05
—
30682900
—
WI
Enumeration date
09/15/2005
Last updated
11/03/2008
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