Individual
DANIEL THOMPSON MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
78 RIDGEWOOD DR, BANGOR, ME 04401-2652
(207) 947-8381
(207) 947-5708
Mailing address
78 RIDGEWOOD DR, BANGOR, ME 04401-2652
(207) 947-8381
(207) 947-5708
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01659
ME
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
01659
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060627
ANTHEM
—
05
—
287150099
—
ME
01
—
5274471
AETNA
—
01
—
5890580
CIGNA
—
01
—
G02570
HP
—
Enumeration date
06/09/2005
Last updated
07/26/2021
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