Individual
MICHAEL RYAN MCGUIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
85 MECHANIC ST STE 360, LEBANON, NH 03766-1537
(603) 448-5610
Mailing address
9 HANOVER ST STE 2, LEBANON, NH 03766-1312
(603) 448-0126
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3077550
—
NH
Enumeration date
01/07/2020
Last updated
01/07/2020
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