Individual
DR. MICHAEL JOSEPH MCCORMACK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-5103
(336) 716-2255
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-5440
(336) 713-0333
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
2019-02942
NC
207RH0003X
Hematology & Oncology Physician
MD464687
PA
Other
Enumeration date
06/22/2012
Last updated
10/18/2021
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