SAMUEL HARRISON CANNON

LAKE GENEVA, WI
NPI1831432996
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  041353866)
Enumeration Date2013-03-27
Last Update Date2025-04-10
Business Address
SAMUEL HARRISON CANNON CRNA
N2950 STATE ROAD 67
LAKE GENEVA, WI 53147-2655
Phone number: 262-245-0535
Mailing Address
SAMUEL HARRISON CANNON CRNA
29624 NETWORK PL
CHICAGO, IL 60673-1296
Phone number: 608-756-6278
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