Individual
JENNIFER M MAGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50907
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
01
—
P00665869
MEDICARE RAILROAD
MN
Enumeration date
06/11/2007
Last updated
03/04/2009
Update your record
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