Individual
MATT E MCGUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6168 GOLFVIEW DR, BURTON, MI 48509-1313
(810) 244-8051
Mailing address
6168 GOLFVIEW DR, BURTON, MI 48509-1313
(810) 244-8051
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704171241
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704171241
RN LICENSE
MI
Enumeration date
07/07/2006
Last updated
07/08/2007
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