Provider Demographics
NPI:1295880854
Name:MCGUIRE, DANIEL STEPHEN (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:STEPHEN
Last Name:MCGUIRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1827
Mailing Address - Street 2:
Mailing Address - City:KAUNAKAKAI
Mailing Address - State:HI
Mailing Address - Zip Code:96748-1827
Mailing Address - Country:US
Mailing Address - Phone:808-553-9080
Mailing Address - Fax:808-553-3353
Practice Address - Street 1:130 KAM V HWY
Practice Address - Street 2:
Practice Address - City:KAUNAKAKAI
Practice Address - State:HI
Practice Address - Zip Code:96748
Practice Address - Country:US
Practice Address - Phone:808-553-9080
Practice Address - Fax:808-553-3353
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-3371207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI039247-01Medicaid
HI039247-01Medicaid
HIH0000BDVDRMedicare ID - Type Unspecified