MICHAEL MARTIN MCGUIRE

O FALLON, IL
NPI1164931960
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085.011631)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY  003657-1)
Enumeration Date2017-09-25
Last Update Date2025-09-17
Business Address
MICHAEL MARTIN MCGUIRE MS, LAT, ATC, PA-S
670 PIERCE BLVD STE 200
O FALLON, IL 62269-2579
Phone number: 618-206-2094
Mailing Address
MICHAEL MARTIN MCGUIRE MS, LAT, ATC, PA-S
670 PIERCE BLVD STE 200
O FALLON, IL 62269-2579
Phone number: 317-501-6249