Individual
PAUL M MCCORMICK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1575 BEAM AVE, MAPLEWOOD, MN 55109-1126
(651) 232-7348
(651) 232-6665
Mailing address
2126 LINCOLN AVE, SAINT PAUL, MN 55105-1045
(651) 698-7854
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
39151
MN
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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