Individual
DR. PATRICK J MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
819 ASH ST, SPOONER, WI 54801-1201
(715) 635-2111
Mailing address
819 ASH ST, SPOONER, WI 54801-1201
(715) 635-2111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
28767
MN
207Q00000X
Family Medicine Physician
Primary
28954
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31371900
—
WI
Enumeration date
02/15/2006
Last updated
11/17/2010
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