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NPI Code Detail

MEDICARE: DR. DANIEL RUPERT MCGINN D.D.S.

MEDICARE: DR. DANIEL RUPERT MCGINN D.D.S.
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
1122300000XDentist13018MI

General Provider Information

NPI Number : 1093982993
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL RUPERT MCGINN D.D.S.
Provider Business Mailing Address
First Line : 50 INDUSTRIAL PARK RD
Second Line :
City : BANGOR
State : MI
Zip : 49013-1246
Country : US
Telephone Number : 269-427-7937
Fax Number : 269-427-5180
Provider Business Practice Location Address
First Line : 800 M 139
Second Line :
City : BENTON HARBOR
State : MI
Zip : 49022-3881
Country : US
Telephone Number : 269-927-5400
Fax Number : 269-927-1956
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2008
Last Update Date : 01/14/2014

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