IndividualActive
Canon Beissel, MD
NPI 1154483394 · Nephrology Physician · Grenada, MS
Provider details
- NPI number
- 1154483394
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 16518 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
35 W Monroe St
Grenada, MS 38901-5222
Phone: (662) 226-8229
Fax: (662) 226-3300
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1041
Grenada, MS 38902-1041
Registry dates
- Enumerated
- 2006-12-14
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.