Individual
DR. GUY M MCCAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 4TH AVE, GRINNELL, IA 50112-1898
(641) 236-2900
(641) 236-2910
Mailing address
210 4TH AVE, GRINNELL, IA 50112-1898
(641) 236-2900
(641) 236-2910
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25513
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010064913
RR MEDICARE #
IA
01
—
17744
BCBS PROVIDER #
IA
05
—
4032029
—
IA
Enumeration date
09/01/2005
Last updated
10/16/2008
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