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Individual

MS. ANDREA D MCCORMICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6223 N CANTON CENTER RD STE 201, CANTON, MI 48187-2696
(734) 844-6533
Mailing address
6223 N CANTON CENTER RD STE 201, CANTON, MI 48187-2696

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704217805
MI

Other

Enumeration date
11/27/2020
Last updated
11/27/2020
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