Individual
M E MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
28595 ORCHARD LAKE RD, SUITE 200, FARMINGTON HILLS, MI 48334-2977
(248) 553-0010
(248) 553-0818
Mailing address
28595 ORCHARD LAKE RD, SUITE 200, FARMINGTON HILLS, MI 48334-2977
(248) 553-0010
(248) 553-0818
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
010260
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3268772
—
MI
Enumeration date
01/25/2006
Last updated
10/22/2020
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