Individual
DR. PHILIP H MCCORKLE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
200 FERRIS DR, BIG RAPIDS, MI 49307-2716
(231) 591-2260
Mailing address
2410 CASCADE SPRINGS DR SE, GRAND RAPIDS, MI 49546-7478
(616) 581-9572
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18278
MI
Other
Enumeration date
09/28/2006
Last updated
07/14/2023
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