Provider Demographics
NPI:1396030615
Name:MCGUIRE, CASSANDRA DEE (DC)
Entity Type:Individual
Prefix:DR
First Name:CASSANDRA
Middle Name:DEE
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 226
Mailing Address - Street 2:215 3RD ST
Mailing Address - City:GAYLORD
Mailing Address - State:MN
Mailing Address - Zip Code:55334
Mailing Address - Country:US
Mailing Address - Phone:507-237-2777
Mailing Address - Fax:
Practice Address - Street 1:215 3RD ST
Practice Address - Street 2:
Practice Address - City:GAYLORD
Practice Address - State:MN
Practice Address - Zip Code:55334
Practice Address - Country:US
Practice Address - Phone:507-237-2777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-15
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5548111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor