Individual
MEGAN CHARDELL GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5702
(715) 387-5511
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
100132-851
WI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
81627
WI
Other
Enumeration date
06/14/2023
Last updated
09/12/2024
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