Individual
DR. DAVID MICHAEL GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
(269) 337-4400
Mailing address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1284
(269) 344-4600
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125.080165
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351051568
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/05/2022
Last updated
08/02/2023
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