Individual provider · Type 1 NPI

Gary Fannon, P.A.

Medical Physician Assistant · Flint, MI

NPI number 1447512819 Active

Practice location

1 Hurley Plz
Flint, MI 48503-5902

Fax (810) 760-0440

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1447512819

Gary Fannon, P.A.'s National Provider Identifier is 1447512819, issued on Jun 12, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Flint, MI. The record was last updated on Jun 12, 2012.