Individual
DR. MICHAEL JOHN MCCANDLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
407 W LINCOLN HWY, STE 50, EXTON, PA 19341-2521
(610) 363-1340
(610) 363-9694
Mailing address
407 W LINCOLN HWY, STE 50, EXTON, PA 19341-2521
(610) 363-1340
(610) 363-9694
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT006163
PA
231H00000X
Audiologist
AZ538
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103215047-0001
—
PA
01
—
BB968Z
MEDICARE ID
FL
Enumeration date
06/18/2008
Last updated
01/12/2017
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