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Individual
DR. MICHAEL JOHN MCCANDLESS
Active
Individual
DR. MICHAEL JOHN MCCANDLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT006163
PA
231H00000X
Audiologist
AZ538
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103215047-0001
—
PA
01
—
BB968Z
MEDICARE ID
FL
Enumeration date
06/18/2008
Last updated
01/12/2017
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