MARIE GRACE DE GUZMAN (NPI# 1962726513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962726513 |
| Entity Type | Individual |
| Full Name | MARIE GRACE DE GUZMAN |
| Practice Address |
1810 S Stephenson Ave Iron Mountain MI 49801-3615 |
| Mailing Address |
10 Willowbrook Ct Madison WI 53719-6200 |
| Practice Telephone | 9067792163 |
| Practice Fax Number | 9067790012 |
| Mailing Telephone | 9067761085 |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-03-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302034304 | MI | Pharmacy Service Providers |
| Street Address |
1810 S STEPHENSON AVE |
| City | IRON MOUNTAIN |
| State | MI |
| Zip Code | 49801-3615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033433537 | Kelly Angela Gingrass | Pharmacist | 1810 S Stephenson Ave, Iron Mountain, MI 49801-3615 | 2010-03-26 |
| 1164453155 | Kmart of Michigan Inc | Pharmacy | 1810 S Stephenson Ave, Iron Mountain, MI 49801-3615 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770008062 | John M Baccino | Dietitian, Registered | 325 E H St # 133, Iron Mountain, MI 49801 | 2017-08-08 |
| 1699148692 | Bd Baker Rentals LLC | Optometrist | 2100 Aragon Street, Iron Mountain, MI 49801 | 2015-11-12 |
| 1083044762 | Integrated First Response-great Lakes | Ambulance | 719 River Avenue, Iron Mountain, MI 49801 | 2013-11-18 |
| 1912340936 | Andrew James Tomlinson | Social Worker | Iron Mountain Va, 325 East H Street, Iron Mountain, MI 49801 | 2013-04-09 |
| 1902196702 | Daniel John Fornetti | Dentist | 100 S. Stephenson Ave., Iron Mountain, MI 49801 | 2011-04-13 |
| 1871815613 | Colleen Ann Sleik | Physical Therapist | Bellin Health Physical Therapy Iron Moutain, 440 Woodward Ave, Iron Mountain, MI 49801 | 2010-02-21 |
| 1679714083 | Great Lakes Recovery Centers, Inc. | Clinic/Center | 1401 N. 26th Street, Suite 109, Escanaba, MI 49801 | 2009-03-13 |
| 1831349539 | Amanda Jane Petti | Dietitian, Registered | 300 E H Street, Nutrition & Food Service, Iron Mountain, MI 49801 | 2008-09-30 |
| 1891946521 | Riki Rouse | Hearing Instrument Specialist | W8065 S Us Hwy 2/141, Iron Mountain, MI 49801 | 2008-09-30 |
| 1366690612 | Greenlund Enterpries, Inc | Hearing Aid Equipment | W8065 S. Us High 2/141, Suite #13, Iron Mountain, MI 49801 | 2008-08-28 |
| Find all providers in zip 49801 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508291725 | Mark E Hagan | Pharmacist | 1800 S Stephenson Ave, Iron Mountain, MI 49801-3615 | 2013-09-06 |
| 1770747727 | Carolyn Mary Hanson | Pharmacist | 1112 S. Stephenson Ave., Iron Mountain, MI 49801-0189 | 2008-07-17 |
| 1033302922 | Joshua Pieter Havrilka | Pharmacist | 1721 S Stephenson Ave Ste A, Iron Mountain, MI 49801-3637 | 2007-08-23 |
| 1124122544 | Susan Elizabeth Balkum | Pharmacist | Vamc Pharmacy, 325 East H St, Iron Mountain, MI 49801 | 2006-09-08 |
| 1659395184 | Gina Marie Hakamaki | Pharmacist | 305 East H St, Iron Mountain, MI 48801 | 2006-07-27 |
| 1669415816 | Daniel L. Aderman | Pharmacist | Pharmacy Service (119), 325 East H Street, Iron Mountain, MI 49801 | 2006-06-14 |
| 1023628773 | Stephen Clarence Ruell | Pharmacist | 1112 S. Stephenson Ave., Midtown Mall, Iron Mountain, MI 49801 | 2020-08-07 |
| 1346862646 | Laura Casanova | Pharmacist | 1721 S Stephenson Ave Ste A, Iron Mountain, MI 49801-3637 | 2020-05-11 |
| 1558921304 | Erin Kreh | Pharmacist | 1112 S Stephenson Ave, Iron Mountain, MI 49801-4038 | 2019-06-14 |
| 1427515691 | Carrie Daffron | Pharmacist | 1112 S Stephenson Ave, Iron Mountain, MI 49801-4038 | 2019-02-25 |
| Find all providers in IRON MOUNTAIN | ||||
| City | IRON MOUNTAIN |
| Zip Code | 49801 |
Please comment or provide details below to improve the information on MARIE GRACE DE GUZMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.