Individual
DOUGLAS L MAGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
904 S WASHINGTON AVE, HOLLAND, MI 49423-7724
(616) 392-7472
Mailing address
904 WASHINGTON AVE, HOLLAND, MI 49423-7724
(616) 392-7472
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DM001062
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2637281
—
MI
01
—
4242631
AETNA
MI
01
—
MO10933
CHAMPUS
MI
Enumeration date
12/24/2005
Last updated
01/28/2008
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