DR. Marie Elizabeth Gannon, O.D.

NPI #1619996501 in Fowlerville, Michigan

Provider Information

NPI Number: 1619996501
Entity Type: Individual
Name: DR. Marie Elizabeth Gannon, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 19, 2006
Last Updated: Feb 5, 2021

Practice Location

Address: 970 GEHRINGER DR
City: Fowlerville
State: Michigan
ZIP Code: 48836-8622
Phone: (517) 715-1002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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