Individual
WAYNE C MCCORMICK
Active
Individual
WAYNE C MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD00024471
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038272
—
WA
01
—
110072923
RAIL ROAD MEDICARE
WA
01
—
8185
INTERNAL ID-MOTOR VEHICLE ID
—
Enumeration date
10/27/2006
Last updated
01/05/2012
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