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Individual

DR. JERRY JOHN MCGUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
20555 ECORSE RD, TAYLOR, MI 48180-1992
(313) 928-2150
Mailing address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 763-6933

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
15618
MI
1223G0001X
General Practice Dentistry
Primary
2952000782
MI

Other

Enumeration date
01/16/2007
Last updated
12/16/2021
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