Individual
DR. CHERYL K GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8896 COMMERCE RD, STE 5, COMMERCE TOWNSHIP, MI 48382
(248) 360-9241
(248) 360-0830
Mailing address
8896 COMMERCE RD, STE 5, COMMERCE TOWNSHIP, MI 48382
(248) 360-9241
(248) 360-0830
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301049043
MI
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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