Individual
DR. CHARLES MCCANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 W LAYTON AVE, MILWAUKEE, WI 53221
(414) 281-0424
Mailing address
2500 W LAYTON AVE, MILWAUKEE, WI 53221-5420
(608) 333-3215
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
69110
WI
Other
Enumeration date
07/03/2014
Last updated
08/16/2018
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