IndividualActive
David Gannon, DPM
NPI 1376521492 · Podiatrist · Berlin, MD
Provider details
- NPI number
- 1376521492
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- E1-0000205 (DE)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Podiatric Medicine & Surgery Service Providers
Practice location
9956 N Main St
Suite #5
Berlin, MD 21811-1077
Phone: (410) 629-0222
Fax: (410) 629-0225
Approximate (ZIP-level) locationGet directions
Mailing address
9956 N Main St
Berlin, MD 21811-1077
Registry dates
- Enumerated
- 2006-01-09
- Last updated
- 2019-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.