Individual
PETER MATTHEW MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26850 PROVIDENCE PKWY STE 150, NOVI, MI 48374-1254
(248) 380-8066
(248) 380-8087
Mailing address
26850 PROVIDENCE PKWY STE 150, NOVI, MI 48374-1254
(248) 380-8066
(248) 380-8087
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301049740
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1735608
—
MI
Enumeration date
07/31/2006
Last updated
09/10/2019
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