Individual
DR. TERESA KRISTINE MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
116 W WASHINGTON ST, GOSHEN, IN 46526-3729
(574) 533-7345
(574) 533-5683
Mailing address
1722 BASHOR RD, GOSHEN, IN 46526-1302
(574) 533-4141
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003031B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200239530A
—
IN
Enumeration date
08/31/2006
Last updated
01/04/2016
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