Individual
DR. MICHAEL A MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
107 TOWN CENTER RD, KING OF PRUSSIA, PA 19406-2330
(610) 401-8368
(610) 688-8643
Mailing address
322 EDGEHILL RD, WAYNE, PA 19087-4716
(256) 483-8447
(610) 688-8643
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS011923
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51004012
BC BS ALABAMA #
AL
05
—
529926920
—
AL
Enumeration date
02/17/2006
Last updated
02/19/2013
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