Shannon E. Mccormack, D.O.

NPI #1588924054 in Beloit, Wisconsin

Provider Information

NPI Number: 1588924054
Entity Type: Individual
Name: Shannon E. Mccormack, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Hospitalist
Credential: D.O.
Enumeration Date: May 18, 2012
Last Updated: Nov 21, 2016

Practice Location

Address: 1969 W HART RD
Address 2: BELOIT MEMORIAL HOSPITAL
City: Beloit
State: Wisconsin
ZIP Code: 53511-2230
Phone: (608) 363-5971

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Student in an Organized Health Care Education/Training Program	390200000X
Hospitalist	208M00000X	Primary

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