Individual
PETER J MCCANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1025 REGENT ST, DAVIS DUEHR DEAN, MADISON, WI 53715-1248
(608) 282-2000
(608) 282-2172
Mailing address
1025 REGENT ST, DAVIS DUEHR DEAN, MADISON, WI 53715-1248
(608) 282-2000
(608) 282-2172
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
22453-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30399700
—
WI
01
—
563
DEAN HEATLH INSURANCE
WI
Enumeration date
06/12/2006
Last updated
05/07/2008
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