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Individual

SHANNON CANNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-6420
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ML60370885
WA
208800000X
Urology Physician
MD60943485
WA
2088P0231X
Pediatric Urology Physician
Primary
75781
WI

Other

Enumeration date
03/28/2013
Last updated
08/27/2021
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