Individual provider · Type 1 NPI

Susan Anne Gannon, MT-BC

Contractor · Plymouth, MI

NPI number 1649418682 Active

Practice location

9357 General Dr
Plymouth, MI 48170-4662

Call (734) 454-0866 Map

Mailing address

9211 Huron River Dr
Dexter, MI 48130-9611

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000X08001 (MI)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1649418682

Susan Anne Gannon, MT-BC's National Provider Identifier is 1649418682, issued on Jan 29, 2009. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Plymouth, MI. The record was last updated on Jan 29, 2009.