Individual
DR. MICHAEL DAVID CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6535 N CHARLES ST STE 300, BALTIMORE, MD 21204-5824
(410) 427-3900
(410) 938-8461
Mailing address
6535 N CHARLES ST STE 300, BALTIMORE, MD 21204-5824
(410) 427-3900
(410) 938-8461
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D82709
MD
Other
Enumeration date
03/25/2014
Last updated
12/26/2019
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