Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARIE ELIZABETH GANNON, O.D.
Active Sole ProprietorDR. MARIE ELIZABETH GANNON, O.D. is a Optometrist healthcare provider located in FOWLERVILLE, Michigan. NPI 1619996501 is currently active in the NPPES registry. Verify at CMS.
Optometrist · FOWLERVILLE, MI
Registration Details
- NPI Number
- 1619996501
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 19, 2006 (19.927585626989 yrs)
- Last Updated
- Feb 5, 2021
- License
-
4901003277 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
970 GEHRINGER DRFOWLERVILLE, MI, 488368622Browse MI providers · Browse ZIP 48836
- Phone
- 5177151002
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in FOWLERVILLE, MI
| Name | Credential | NPI |
|---|---|---|
| PAUL T. LANG | O.D. | 1396707220 |
| NELSON GREY EDWARDS | O.D. | 1194804583 |
| DR. TOM LAVERN HALL II | OD | 1336556893 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.