Individual
ANDREW MICHAEL MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2221 HAYES AVE, FREMONT, OH 43420-2632
(419) 334-3869
Mailing address
7925 EVERSOLE RD, CARROLL, OH 43112-9635
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.025500
OH
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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