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1578540076
MICHAEL LOUIS CANNON
WINSTON SALEM, NC
NPI
1578540076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0203X Pediatrics Pediatric Critical Care Medicine
(Licence: NC 0095-00033)
Enumeration Date
2005-12-27
Last Update Date
2016-11-11
Business Address
MICHAEL LOUIS CANNON MD
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2255
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Mailing Address
MICHAEL LOUIS CANNON MD
PO BOX 344
WINSTON SALEM, NC 27102-0344
Phone number: 336-716-2255
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