Individual
MS. MARY CLAIR MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4801 VETERAN DRIVE, ST. CLOUD, MN 56303
(320) 252-1670
(320) 255-6359
Mailing address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 252-1670
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
100238
MT
363LF0000X
Family Nurse Practitioner
Primary
17890
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
411768149
MEDICARE ID
—
Enumeration date
03/29/2007
Last updated
03/04/2025
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