Individual
MICHAEL BYRON MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 WESTERN AVE, MANITOWOC, WI 54220-3712
(920) 320-2011
(920) 320-5129
Mailing address
2300 WESTERN AVE, MANITOWOC, WI 54220-3712
(920) 320-2011
(920) 320-5129
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
38424
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220030087
MEDICARE RAILROAD
WI
05
—
32636100
—
WI
Enumeration date
08/21/2006
Last updated
09/13/2023
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