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

Timothy Gannon, CCP

Individual provider Perfusionist · NPI 1952640567

Timothy Gannon, CCP is a Perfusionist in Livonia, Michigan. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

31330 Schoolcraft Rd Ste 200
Livonia, MI 48150-2041
Phone: (734) 525-9712
Show map & directions

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

Specialties & licences

Perfusionist (primary) Taxonomy 242T00000X

Record details

NPI number1952640567
Entity typeIndividual (Type 1)
GenderMale
Credentials CCP
Sole proprietorNo
NPI enumeratedFebruary 4, 2013
Last updated in NPPESFebruary 4, 2013

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