Michael Cannon, MD Personalized Medicine, LLC
NPI #1326769175 in Chesterfield, Missouri
Provider Information
- NPI Number
- 1326769175
- Entity Type
- Organization
- Organization Name
- Michael Cannon, MD Personalized Medicine, LLC
- Primary Specialty
- Family Medicine - Sports Medicine
- Enumeration Date
- Sep 9, 2022
- Last Updated
- Sep 9, 2022
Practice Location
- Address
- 16216 BAXTER RD STE 340
- City
- Chesterfield
- State
- Missouri
- ZIP Code
- 63017-4778
- Phone
- (314) 325-8925
Authorized Official
- Name
- MICHAEL CANNON
- Title
- OWNER/ MD
- Phone
- (314) 574-2851
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Sports Medicine — Sports Medicine |
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