Individual provider · Type 1 NPI

Megan Chardell Gannon, DO

Student in an Organized Health Care Education/Training Program · Marshfield, WI

NPI number 1104500644 Active

Practice location

1000 N Oak Ave
Marshfield, WI 54449-5702

Call (715) 387-5511 Map

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X100132-851 (WI)
Student in an Organized Health Care Education/Training Program Primary 390200000X81627 (WI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104500644

Megan Chardell Gannon, DO's National Provider Identifier is 1104500644, issued on Jun 14, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Marshfield, WI. The record was last updated on Sep 12, 2024.