Individual
DR. MICHAEL P MCDERMOTT
Active
Individual
DR. MICHAEL P MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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