Individual
DR. ANDRES M KANNER
Active
Individual
DR. ANDRES M KANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
036082679
IL
2084N0400X
Neurology Physician
Primary
ME114160
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036082679
—
IL
01
—
336044952
IL DEPT OF PROF REG
IL
Enumeration date
09/20/2005
Last updated
03/07/2023
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