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Dr. David Gannon, DPM
Podiatrist in Berlin, Maryland
NPI 1376521492

David Gannon is a Podiatrist based in Berlin, MD. David Gannon practices in Berlin, MD and has the professional credentials of DPM. The NPI Number for David Gannon is 1376521492 and holds a License No. E1-0000205 (Maryland).

The current practice location address for David Gannon is 9956 N Main St, Berlin, MD and can be reached out via phone at 410-629-0222 and via fax at 410-629-0225.

Location: 9956 N Main St, Berlin, MD, 21811-1077
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376521492
Provider Name
David Gannon
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
9956 N Main St, Berlin, MD, 21811-1077
Phone Number
410-629-0222
Fax Number
410-629-0225
Provider Enumeration Date
01/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
E1-0000205 01 DE STATE LICENSE
3494004-00 05 MD
6031730002 01 DE DME
P00639639 01 MD RAIL ROAD MEDICARE - INDIVIDUAL PTAN
institution
Provider Business Practice Location Address Details
Address
9956 N Main St
City
Berlin
State
Maryland
Zip
21811-1077
Phone Number
410-629-0222
Fax Number
410-629-0225
person
Provider Business Mailing Address Details
Address
9956 N Main St
City
Berlin
State
Maryland
Zip
21811-1077
Phone Number
410-629-0222
Fax Number
410-629-0225
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
E1-0000205 (Delaware)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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