Organization
POUND COMMUNITY MEDICAL CLINIC S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN KELLOGG MCGUIRE M.D. (PHYSICIAN)
(920) 897-2331
Entity
Organization
Contact information
Practice address
2026 COUNTY ROAD Q, POUND, WI 54161-9707
(920) 897-2331
(920) 897-2115
Mailing address
2026 COUNTY ROAD Q, POUND, WI 54161-9707
(920) 897-2331
(920) 897-2115
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25995
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32721700
—
WI
Enumeration date
10/23/2006
Last updated
04/14/2008
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