Individual
ROBERT M MACCANI I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
700 COOPER AVE, SAGINAW, MI 48602-5383
(989) 583-6242
Mailing address
1431 CENTERPOINT BLVD STE 100, KNOXVILLE, TN 37932-1983
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101022866
MI
207L00000X
Anesthesiology Physician
62602
WI
207L00000X
Anesthesiology Physician
9381
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0405332Y0NH01
ANTHEM BCBS
NH
01
—
10613
CIGNA
NH
05
—
1356447221
—
MI
05
—
1356447221
—
WI
05
—
30008869
—
NH
Enumeration date
09/16/2006
Last updated
03/29/2021
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