Individual
MR. DAN W GANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MT(AAB),MLT(ASCP)
Contact information
Practice address
9 W FRONT ST, RTTEMPS, MEDIA, PA 19063-2816
(800) 677-8233
Mailing address
1514 VINYARD RD, MARSHFIELD, MO 65706-9328
(417) 830-8189
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
2040004
MO
246RM2200X
Medical Laboratory Technician
Primary
MLT19209
IL
Other
Enumeration date
03/20/2007
Last updated
09/11/2025
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