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Individual

DR. MICHAEL B CANNONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
5040 FOREST DRIVE, SUITE 300, NEW ALBANY, OH 43054
(614) 890-6555
(614) 839-3277
Mailing address
70 S. CLEVELAND AVENUE, WESTERVILLE, OH 43081
(614) 890-6555
(614) 839-3277

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
34006141C
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2149731
OH
Enumeration date
12/02/2005
Last updated
05/12/2015
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