Michael R Mccormick, PA

NPI #1700880333 in Onalaska, Wisconsin

Provider Information

NPI Number
1700880333
Entity Type
Individual
Name
Michael R Mccormick, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
PA
Enumeration Date
Jun 10, 2005
Last Updated
Jul 30, 2015

Practice Location

Address
3111 GUNDERSON DRIVE
ZIP Code
54650-8512
Phone
(608) 796-8630

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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