Individual
MICHAELA MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3946 ICE WAY, FORT WAYNE, IN 46808
(260) 417-0384
Mailing address
3946 ICE WAY, FORT WAYNE, IN 46808
(260) 417-0384
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003111A
IN
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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