Susan Mccormick

NPI #1376912105 in Traverse City, Michigan

Provider Information

NPI Number: 1376912105
Entity Type: Individual
Name: Susan Mccormick
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Sep 23, 2015
Last Updated: Sep 23, 2015

Practice Location

Address: 2900 ARBORVIEW DR
Address 2: #7
City: Traverse City
State: Michigan
ZIP Code: 49685-7359
Phone: (231) 409-1297

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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