Gavin Michael Hannon
Gavin Michael Hannon is a Student in an Organized Health Care Education/Training Program in Manchester, Connecticut. Practices as a sole proprietor. Licensed in Maine.
- Licensed in
- ME
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
Manchester, CTNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence DO3611 (ME) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1992327696 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 15, 2020 |
| Last updated in NPPES | July 20, 2023 |
| Certification date | July 20, 2023 |
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