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Individual

MICHAEL S MCGUIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4351 E LOHMAN AVE STE 301, LAS CRUCES, NM 88011-8262
(575) 532-9755
Mailing address
PO BOX 1560, LAS CRUCES, NM 88004-1560
(505) 647-8366
(505) 647-8381

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
94703
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000L3538
NM
01
0761430001
DMERC
NM
01
200027684
RR MEDICARE
NM
01
20276
PRESBYTERIAN
NM
01
88005C002
TRICARE
NM
01
NM000642
BCBS
NM
Enumeration date
08/30/2005
Last updated
08/28/2023
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