Individual
DR. PATRICK MICHAEL MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
510 E STATE ST, MAUSTON, WI 53948
(608) 847-5614
(608) 847-7265
Mailing address
510 E STATE ST, MAUSTON, WI 53948
(608) 847-5614
(608) 847-7265
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001326WI
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33650400
—
WI
Enumeration date
12/26/2006
Last updated
07/08/2007
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