Michael Martin Mcguire, PA-C, ATC

NPI #1164931960 in O Fallon, Illinois

Provider Information

NPI Number: 1164931960
Entity Type: Individual
Name: Michael Martin Mcguire, PA-C, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C, ATC
Enumeration Date: Sep 25, 2017
Last Updated: Dec 11, 2025

Practice Location

Address: 670 PIERCE BLVD STE 200
City: O Fallon
State: Illinois
ZIP Code: 62269-2579
Phone: (618) 206-2094

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physician Assistant	363A00000X	Primary

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