Individual
MS. MARY CLAIR MCGUIRE
Active
Individual
MS. MARY CLAIR MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
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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