Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086X0206X | Surgical Oncologist | 0420010490 | VT |
Y | 2086X0206X | Surgical Oncologist | 4301095465 | MI |
NPI | 1467557835 |
---|---|
Provider Name | Dr. Laurence Edward Mccahill |
First Address | Wyoming, MI 49519-9606 |
Second Address | Wyoming, MI 49519-9514 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 05/02/2019 |