# DR. PETER M MCGANNON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1679730758
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 125-049375 | IL | — |
| 207W00000X | Ophthalmology Physician | 35.095387 | OH | Yes |
| 207W00000X | Ophthalmology Physician | N3173 | TX | — |
| 207WX0120X | Cornea and External Diseases Specialist Physician | 35.095387 | OH | — |

## Other

- **Enumeration date:** 05/17/2008
- **Last updated:** 06/02/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3071287 | — | OH |