Individual
MARISSA J MAGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2820 ROOSEVELT RD, MARINETTE, WI 54143-3834
(715) 735-5225
(715) 735-5388
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4040-23
WI
Other
Enumeration date
02/14/2017
Last updated
07/01/2019
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