Individual
DR. JASON WAYNE MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1040 SIERRA DR, SUITE 400, GREENWOOD, IN 46143-7240
(317) 528-4800
Mailing address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
(269) 337-4400
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01075850A
IN
390200000X
Student in an Organized Health Care Education/Training Program
4301090001
MI
Other
Enumeration date
06/04/2007
Last updated
10/05/2015
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