Individual
DR. DIANE A MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6011 RENAISSANCE PL, TOLEDO, OH 43623-4720
(419) 885-5929
(419) 824-6436
Mailing address
6011 RENAISSANCE PL, TOLEDO, OH 43623-4720
(419) 885-5929
(419) 824-6436
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
35055529
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0785217
—
OH
Enumeration date
05/22/2006
Last updated
01/18/2011
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