DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CORYNN E CANNON PA-C

MEDICARE: CORYNN E CANNON PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant10000644AIN

General Provider Information

NPI Number : 1972515450
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORYNN E CANNON PA-C
Provider Business Mailing Address
First Line : PO BOX 781076
Second Line :
City : DETROIT
State : MI
Zip : 48278-4959
Country : US
Telephone Number : 317-528-4800
Fax Number : 317-865-1479
Provider Business Practice Location Address
First Line : 5255 E STOP 11 RD STE 450
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46237-6342
Country : US
Telephone Number : 317-865-4800
Fax Number : 317-865-4806
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2006
Last Update Date : 08/01/2024

Similar Medicare Providers

1598498941 — DARIAN R YURACK
Practice Location Address:
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN
46237-6342
Practice Phone: 317-865-4800
Practice Fax:
1437123437 — JONATHAN A MANDELBAUM MD
Practice Location Address:
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN
46237-6342
Practice Phone: 317-865-4800
Practice Fax: 317-865-4806
1629042627 — MATHEW J LIBKE MD
Practice Location Address:
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN
46237-6342
Practice Phone: 317-865-4800
Practice Fax: 317-865-4806
1790759546 — DONALD G KING MD
Practice Location Address:
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN
46237-6342
Practice Phone: 317-865-4800
Practice Fax: 317-865-4806
1215196241 — KATHERINE IRENE BOONE
Practice Location Address:
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN
46237-6342
Practice Phone: 317-865-4800
Practice Fax: 317-865-4806
1891013868 — DR. KARIUKI PETER MURAGE MD
Practice Location Address:
5255 E STOP 11 RD STE 450
INDIANAPOLIS, IN
46237-6342
Practice Phone: 317-865-4800
Practice Fax: 317-865-4806

Directions to “ CORYNN E CANNON PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.