Individual
DAVID CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
14825 SOUTHFIELD RD, ALLEN PARK, MI 48101-2642
(313) 383-7071
Mailing address
133 E 7TH ST, MONROE, MI 48161-1307
(734) 731-2248
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704315594
MI
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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