Aidan Bannon
Aidan Bannon is a Peer Specialist in Port Huron, Michigan. Licensed in Michigan. Registered with an NPI since 2021.
- Licensed in
- MI
- In the registry since
- 2021
Practice location Address checks out
3111 Electric AvePort Huron, MI 48060-8127
Phone: (810) 985-8900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X (MI) |
|---|
Record details
| NPI number | 1295302735 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 4, 2021 |
| Last updated in NPPES | June 4, 2021 |
| Certification date | June 4, 2021 |
| Mailing address | 3111 Electric Ave, Port Huron, MI 48060-8127 |
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