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Individual

DR. DAVID MICHAEL MCCANCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
9302 MEDICAL PLAZA DR, SUITE B, CHARLESTON, SC 29406-9142
(843) 553-8730
(843) 553-8767
Mailing address
9302 MEDICAL PLAZA DR, SUITE B, CHARLESTON, SC 29406-9142
(843) 553-8730
(843) 553-8767

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
1233
SC
207RG0100X
Gastroenterology Physician
Primary
5101007200
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1404919
MI
05
2909004
MI
01
54600105
BCBS-MI
MI
Enumeration date
09/15/2006
Last updated
06/21/2010
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