Provider Demographics
NPI:1265826986
Name:MCGUIRE, SUZANNE (DPM)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 S LAKEVIEW AVE
Mailing Address - Street 2:P.O. BOX 730
Mailing Address - City:STURGIS
Mailing Address - State:MI
Mailing Address - Zip Code:49091-1947
Mailing Address - Country:US
Mailing Address - Phone:269-651-2320
Mailing Address - Fax:269-659-4704
Practice Address - Street 1:102 S LAKEVIEW AVE
Practice Address - Street 2:
Practice Address - City:STURGIS
Practice Address - State:MI
Practice Address - Zip Code:49091-1947
Practice Address - Country:US
Practice Address - Phone:269-651-2320
Practice Address - Fax:269-659-4704
Is Sole Proprietor?:No
Enumeration Date:2015-03-19
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5901002558213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery