Individual
DR. MICHAEL J MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
125 SCHOOL ST, PO BOX F, CARLISLE, IA 50047-8702
(515) 989-3221
(515) 989-4518
Mailing address
125 SCHOOL ST, PO BOX F, CARLISLE, IA 50047-8702
(515) 989-3221
(515) 989-4518
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01683
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100026
COVPC
—
01
—
01006
SECURECARE
—
05
—
0149898
—
IA
01
—
119600
COVENTRY
IA
01
—
119600
COVOP
—
01
—
14955
HCP
—
01
—
14989
WELLMARK
IA
01
—
420870851
COMMERCIAL
—
01
—
IA0101
HERITAGE
—
Enumeration date
09/14/2005
Last updated
01/07/2010
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