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NPI Code Detail

MEDICARE: STEVEN BRUCE MCCANN MD

MEDICARE:   STEVEN BRUCE MCCANN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician38660WI

Other Identifiers

General Provider Information

NPI Number : 1932165636
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN BRUCE MCCANN MD
Provider Business Mailing Address
First Line : 19475 W NORTH AVE
Second Line : STE 400
City : BROOKFIELD
State : WI
Zip : 53045-4199
Country : US
Telephone Number : 262-780-4000
Fax Number : 262-780-4090
Provider Business Practice Location Address
First Line : 19475 W NORTH AVE
Second Line : STE 400
City : BROOKFIELD
State : WI
Zip : 53045-4199
Country : US
Telephone Number : 262-780-4000
Fax Number : 262-780-4090
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2006
Last Update Date : 08/22/2011

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Directions to “ STEVEN BRUCE MCCANN MD” Practice Location

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