Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN ANNE GANNON, MT-BC
Active Sole ProprietorSUSAN ANNE GANNON, MT-BC is a Contractor healthcare provider located in PLYMOUTH, Michigan. NPI 1649418682 is currently active in the NPPES registry. Verify at CMS.
Contractor · PLYMOUTH, MI
Registration Details
- NPI Number
- 1649418682
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 29, 2009 (17.497906858923 yrs)
- Last Updated
- Jan 29, 2009
- License
-
08001 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9357 GENERAL DRPLYMOUTH, MI, 481704662Browse MI providers · Browse ZIP 48170
- Phone
- 7344540866
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in PLYMOUTH, MI
| Name | Credential | NPI |
|---|---|---|
| JAMESENA INGRAM | M. ED. | 1184099137 |
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.