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Contact Information

PETER J MACANDER, MD
703 E MARSHALL AVE STE 5008
LONGVIEW, TX75601
 Phone: 903-315-4880
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PETER J MACANDER · (Male)

NPI # 1285613851
Status Active
Credentials MD
Entity Individual
Enumeration date 01/12/2006
Last updated 04/15/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 04-27251
  • ND License # 16804
  • TX License # S0731
  • KS Medicaid 100301810D
  • TX Medicaid 396191401
  • TX Other P02220467 MEDICARE RAIL ROAD
Hospital affiliation(s)
  • CLINTON MEMORIAL HOSPITAL - (Acute Care)
    610 WEST MAIN STREET
    WILMINGTON, OH 45177
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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