Individual
MICHAEL LAWWELL MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(706) 863-9595
(706) 868-8375
Mailing address
PO BOX 12358, AUGUSTA, GA 30914-2358
(706) 863-9595
(706) 868-8375
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
OC-0063
ID
2086S0102X
Surgical Critical Care Physician
12672C
WY
2086S0102X
Surgical Critical Care Physician
48973
MN
2086S0102X
Surgical Critical Care Physician
5101014249
MI
2086S0102X
Surgical Critical Care Physician
85476
GA
2086S0102X
Surgical Critical Care Physician
CDRH.0060989
CO
2086S0102X
Surgical Critical Care Physician
Primary
OC-0063
ID
2086S0102X
Surgical Critical Care Physician
OS14155
FL
Other
Enumeration date
09/22/2006
Last updated
04/28/2022
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