Individual
DR. PETER M MCGANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5001 ROCKSIDE RD # IN4, INDEPENDENCE, OH 44131-2172
(216) 986-4000
Mailing address
5001 ROCKSIDE RD # IN4, INDEPENDENCE, OH 44131-2172
(216) 986-4000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
125-049375
IL
207W00000X
Ophthalmology Physician
Primary
35.095387
OH
207W00000X
Ophthalmology Physician
N3173
TX
207WX0120X
Cornea and External Diseases Specialist Physician
35.095387
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3071287
—
OH
Enumeration date
05/17/2008
Last updated
06/02/2023
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