Individual
MIKE MCCANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
9250 45TH AVE SW, SEATTLE, WA 98136-2633
(206) 937-4140
Mailing address
2131 ARCH PL SW, SEATTLE, WA 98116-2032
(206) 683-1175
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00007332
WA
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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