MEDICARE: DANIEL THOMPSON MCGUIRE 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
1	207X00000X	Orthopaedic Surgery Physician	01659	ME
2	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	01659	ME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	G02570	OTHER	HP
2	060627	OTHER	ANTHEM
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	5274471	OTHER	AETNA
5	5890580	OTHER	CIGNA

General Provider Information

NPI Number	:	1669476420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL THOMPSON MCGUIRE MD

Provider Business Mailing Address
First Line	:	78 RIDGEWOOD DR
Second Line	:
City	:	BANGOR
State	:	ME
Zip	:	04401-2652
Country	:	US
Telephone Number	:	207-947-8381
Fax Number	:	207-947-5708

Provider Business Practice Location Address
First Line	:	78 RIDGEWOOD DR
Second Line	:
City	:	BANGOR
State	:	ME
Zip	:	04401-2652
Country	:	US
Telephone Number	:	207-947-8381
Fax Number	:	207-947-5708

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	07/26/2021

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Directions to “ DANIEL THOMPSON MCGUIRE MD” Practice Location

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