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Michael Louis Cannon, MD
Pediatric Critical Care Medicine Physician in Winston Salem, North Carolina
NPI 1578540076

Michael Louis Cannon is a Pediatric Critical Care Medicine Physician based in Winston Salem, NC and is specialized in Pediatric Critical Care Medicine. Michael Louis Cannon practices in Winston Salem, NC and has the professional credentials of MD. The NPI Number for Michael Louis Cannon is 1578540076 and holds a License No. 0095-00033 (North Carolina).

The current practice location address for Michael Louis Cannon is Medical Center Blvd, Winston Salem, NC and can be reached out via phone at 336-716-2255.

Location: Medical Center Blvd, Winston Salem, NC, 27102-0344
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578540076
Provider Name
Michael Louis Cannon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Medical Center Blvd, Winston Salem, NC, 27102-0344
Phone Number
336-716-2255
Fax Number
Provider Enumeration Date
12/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5445723 01 NC AETNA
891131R 05 NC
1131R 01 NC BLUE CROSS
2004805000 05 WV
79555 01 NC MEDCOST
6729746 05 VA
24396 01 NC PARTNERS
Q00031 05 SC
institution
Provider Business Practice Location Address Details
Address
Medical Center Blvd
City
Winston Salem
State
North Carolina
Zip
27157-0001
Phone Number
336-716-2255
Fax Number
person
Provider Business Mailing Address Details
Address
Medical Center Blvd
City
Winston Salem
State
North Carolina
Zip
27157-0001
Phone Number
336-716-2255
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Critical Care Medicine
Taxonomy
2080P0203X
License No.
0095-00033 (North Carolina)
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
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