OrganizationActive
Michael Cannon, MD Personalized Medicine, LLC
NPI 1326769175 · Sports Medicine (Family Medicine) Physician · Chesterfield, MO
Provider details
- NPI number
- 1326769175
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Cannon, Owner/ MD(314) 574-2851
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
16216 Baxter Rd Ste 340
Chesterfield, MO 63017-4778
Phone: (314) 325-8925
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 221240
Kirkwood, MO 63122-8240
Registry dates
- Enumerated
- 2022-09-09
- Last updated
- 2022-09-09
- Certified
- 2022-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.