Individual
RONALD L MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
113 CARMICHAEL RD, HUDSON, WI 54016-7716
(715) 377-7970
(716) 377-7974
Mailing address
113 CARMICHAEL RD, HUDSON, WI 54016-7716
(715) 377-7970
(716) 377-7974
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1954
MN
152W00000X
Optometrist
Primary
1956
WI
Other
Enumeration date
01/09/2007
Last updated
07/09/2007
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