Individual
MICHAEL W. CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MT. CARMEL WAY, PITTSBURGH, KS 66762
(620) 231-6100
(316) 262-0706
Mailing address
1 MT. CARMEL WAY, PITTSBURGH, KS 66762
(620) 231-6100
(316) 262-0706
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0418085
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100189850A
—
KS
01
—
1286700002
DMERC REGION 1
KS
01
—
1286700003
DMERC REGION 1
KS
01
—
1286700004
DMERC REGION 1
KS
01
—
1286700005
DMERC REGION 1
KS
01
—
1286700006
DMERC REGION 1
KS
01
—
1286700007
DMERC REGION 1
KS
01
—
1286700008
DMERC REGION 1
—
01
—
1286700009
DMERC REGION 1
KS
01
—
1286700011
DMERC REGION 1
KS
01
—
1286700012
DMERC REGION 1
KS
01
—
1286700013
DMERC REGION 1
KS
01
—
1286700015
DMERC REGION 1
KS
01
—
12867010010
DMERC REGION 1
KS
Enumeration date
04/03/2006
Last updated
07/28/2022
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