Individual
DR. CONNOR JAMES MCCORMICK
Active
Individual
DR. CONNOR JAMES MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301517566
MI
2084P0800X
Psychiatry Physician
Primary
4351052160
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301517566
LARA PHYSICIAN LICENSE
MI
01
—
5315265162
LARA CONTROLLED SUBSTANCE LICENSE
MI
Enumeration date
04/01/2024
Last updated
08/24/2026
Update your record
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