Individual
HERBERT STEPHEN MAGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 UNIVERSITY DR S, FARGO, ND 58103-6029
(701) 234-5673
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
023149
LA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
18204
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1494950
—
LA
Enumeration date
07/21/2006
Last updated
10/30/2023
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