Individual
DR. MICHAEL P MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3394 E JOLLY RD, STE A, LANSING, MI 48910-8594
(517) 394-3200
(517) 394-4250
Mailing address
3394 E JOLLY RD, STE A, LANSING, MI 48910-8594
(517) 394-3200
(517) 394-4250
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5315018271
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0331276
BLUECARE NETWORK
MI
01
—
200000002799
PHYSICIANS HEALTH PLAN
MI
01
—
2003312762
BLUE CROSS/BLUE SHIELD
MI
05
—
4839750
—
MI
Enumeration date
12/23/2005
Last updated
12/13/2018
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