Individual
MICHAEL CLIFTON MCGINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
911 SUNSET DR, HOLLISTER, CA 95023-5606
(831) 637-5711
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
141451
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
255317
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052167
—
NJ
05
—
100208290A
—
OK
01
—
100745580B
SOONERCARE
—
01
—
1590753
GHI
OK
01
—
2144647
UNITED HEALTHCARE
—
01
—
2359696000
AMERIHEALTH
NJ
01
—
250774730N01
HIP OF NY
NY
05
—
2738769
—
NY
01
—
2K7528
HEALTHNET
NJ
01
—
302894
AVMED,INC
—
01
—
39305
UHP OF NJ
NJ
01
—
4093337
AMERICAN TRAVELERS ASSUR.
—
01
—
5001628
GHI
NJ
01
—
60015389
HORIZON NJ HEALTH
NJ
01
—
91001516800
AMERICHOICE
NJ
01
—
P00208899
RR MEDICARE
NJ
01
—
P3431936
OXFORD
—
Enumeration date
05/23/2006
Last updated
07/20/2016
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