Individual
MOLLY GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 RIVERSIDE AVENUE SOUTH, MINNEAPOLIS, MN 55454
(612) 273-9824
Mailing address
2450 RIVERSIDE AVENUE SOUTH, MINNEAPOLIS, MN 55454
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
05/29/2024
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