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

Susan Anne Gannon, MT-BC

Individual provider Contractor · NPI 1649418682

Susan Anne Gannon, MT-BC is a Contractor in Plymouth, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2009

Practice location Address checks out

9357 General Dr
Plymouth, MI 48170-4662
Phone: (734) 454-0866
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 08001 (MI)

Record details

NPI number1649418682
Entity typeIndividual (Type 1)
GenderFemale
Credentials MT-BC
Sole proprietorYes
NPI enumeratedJanuary 29, 2009
Last updated in NPPESJanuary 29, 2009

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