Michael E Cannon MD

NPI 1184613879 - Internal Medicine - 207RG0100X

NPI Details
NPI 1184613879
Gender Male
Enumeration Date 10/17/2005
Last Updated 10/21/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
264 W MAPLE RD
#200
TROY MI, 48084-5435, US
Phone (248) 273-9930
Fax (248) 273-9931
Business Location
264 W MAPLE RD
#200
TROY MI, 48084-5435, US
Phone (248) 273-9930
Fax (248) 273-9931
Toxanomy
Taxonomy Code 207RG0100X
License State Michigan
License Number 059297
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According to our database, Dr. Michael E Cannon MD NPI is 1184613879, taxonomy code is 207RG0100X and license number is 059297, license state is located at Michigan. Michael E Cannon MD physically located at 264 W Maple Rd, Troy MI, 48084-5435. NPI Number Michael E Cannon MD has the Individual type.

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1184613879 NPI number is provided on an as is basis without warranty of any kind. 1184613879 is maintained by the National Plan & Provider Enumeration System. The contents of Michael E Cannon MD are for informational purposes only.