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Individual

TERRENCE D MCCANNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2525 COUNTY HWY I, CHIPPEWA FALLS, WI 54729
(715) 723-9375
(715) 723-1092
Mailing address
2525 COUNTY HWY I, CHIPPEWA FALLS, WI 54729
(715) 723-9375
(715) 723-1092

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
36571020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32120800
WI
Enumeration date
08/29/2006
Last updated
10/23/2009
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