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Search › Michigan › 225100000X

Derrick Cannon, PT, DPT

NPI 1598192312 · on the registry since 2013 · sole proprietor

Practice

Address
79 W Alexandrine St
Detroit, MI 48201
Phone
(313) 831-5535
Organisation at this address
Childrens Center
Childrens Center
Ace Healthcare Pllc
Multilanguage Services, Inc.
Developmental Dentistry, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
380

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225100000X
Licence states on file
AK, MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-02-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan