Search › Michigan › 172V00000X
Ida Cannon
NPI 1821943465 · on the registry since 2026 · sole proprietor
Practice
- Address
- 10201 W 7 Mile Rd
Detroit, MI 48221 - Phone
- (313) 340-2224
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-02-27
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