Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Patrick Gannon

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1730982638

Michael Patrick Gannon is a Student in an Organized Health Care Education/Training Program in Norfolk, Virginia. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

825 Fairfax Ave Ste 710
Norfolk, VA 23507-1912
Phone: (757) 446-5888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1730982638
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 28, 2025
Last updated in NPPESMarch 28, 2025
Certification dateMarch 28, 2025
Mailing address825 Fairfax Ave, Suite 710, Norfolk, VA 23507

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