Individual
DR. JOHN MCCORMAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6100 W CREEK RD STE 35, INDEPENDENCE, OH 44131-2133
(216) 986-4665
Mailing address
6100 W CREEK RD STE 35, INDEPENDENCE, OH 44131-2133
(216) 986-4665
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35084093
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2506541
—
OH
Enumeration date
08/12/2005
Last updated
08/05/2020
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