Individual
DR. SHANNON MCCANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13345 ILLINOIS ST, CARMEL, IN 46032-3318
(317) 396-1300
(317) 396-1346
Mailing address
13345 ILLINOIS ST, CARMEL, IN 46032-3318
(317) 396-1300
(317) 396-1346
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01067935A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200980710
—
IN
Enumeration date
05/22/2008
Last updated
02/23/2021
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