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NPI Code Detail

MEDICARE: MICHEAL A MCGINNIS CRNA

MEDICARE: MICHEAL A MCGINNIS CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistRNA83265ME

General Provider Information

NPI Number : 1689658866
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHEAL A MCGINNIS CRNA
Provider Business Mailing Address
First Line : 35 MEDICAL CENTER PKWY
Second Line :
City : AUGUSTA
State : ME
Zip : 04330-8160
Country : US
Telephone Number : 207-622-1959
Fax Number : 207-430-4007
Provider Business Practice Location Address
First Line : 35 MEDICAL CENTER PKWY
Second Line :
City : AUGUSTA
State : ME
Zip : 04330-8160
Country : US
Telephone Number : 207-622-1959
Fax Number : 207-622-1959
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2005
Last Update Date : 11/18/2016

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