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NPI Code Detail

MEDICARE: WILLIAM MICHAEL MAGUIRE MD

MEDICARE:   WILLIAM MICHAEL MAGUIRE  MD
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
1207P00000XEmergency Medicine Physician39142MN
2207P00000XEmergency Medicine Physician46155CO

General Provider Information

NPI Number : 1578539052
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM MICHAEL MAGUIRE MD
Provider Business Mailing Address
First Line : 16510 30TH AVE N
Second Line :
City : PLYMOUTH
State : MN
Zip : 55447-1819
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1501 E 3RD ST
Second Line :
City : DELTA
State : CO
Zip : 81416-2815
Country : US
Telephone Number : 979-874-7681
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2006
Last Update Date : 01/29/2009

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Directions to “ WILLIAM MICHAEL MAGUIRE MD” Practice Location

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