Individual
DR. JEREMY WYNNE CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
51 N 39TH STREET, SUITE 120 MOB, PHILADELPHIA, PA 19104
(215) 349-8310
(215) 724-3560
Mailing address
51 N 39TH STREET, SUITE 120 MOB, PHILADELPHIA, PA 19104
(215) 349-8310
(215) 724-3560
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
MD454530
PA
2086S0127X
Trauma Surgery Physician
Primary
MD454530
PA
Other
Enumeration date
04/29/2006
Last updated
12/23/2025
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