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Contact Information

MICHAEL L MCCANN, DO
3100 CHANNING WAY
IDAHO FALLS, ID83404-7533
 Phone: 706-863-9595
 Fax: 706-868-8375
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MICHAEL L MCCANN · (Male)

NPI # 1528167996
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/22/2006
Last updated 04/28/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CO License # CDRH.0060989
  • FL License # OS14155
  • GA License # 85476
  • ID License # OC-0063
  • MI License # 5101014249
  • MN License # 48973
  • WY License # 12672C
Hospital affiliation(s)
  • EASTERN IDAHO REGIONAL MEDICAL CENTER - (Acute Care)
    3100 CHANNING WAY
    IDAHO FALLS, ID 83404
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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