Individual
DR. CYNTHIA GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
436 E WASHINGTON BLVD, FORT WAYNE, IN 46802-3210
(260) 264-7711
Mailing address
436 E WASHINGTON BLVD, FORT WAYNE, IN 46802-3210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01042254A
IN
Other
Enumeration date
10/04/2006
Last updated
11/08/2024
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