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ADAM MICHAEL MCCORMICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
6920 GATWICK DR, SUITE 200, INDIANAPOLIS, IN 46241-9504
(317) 455-1064
(317) 455-1204
Mailing address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001915A
IN
363A00000X
Physician Assistant

Other

Enumeration date
07/16/2015
Last updated
09/09/2024
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