Individual
DR. KATHARINE MARIE MCGINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
915 N MAIN ST, SUITE 3, COLUMBIA, IL 62236-1136
(618) 281-6161
Mailing address
1212 VICTOR ST, SAINT LOUIS, MO 63104-4326
(314) 771-3909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2003015422
MO
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005634
—
IL
Enumeration date
02/20/2007
Last updated
07/09/2007
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