Individual
DR. MARIA MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CPNP
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 988-8220
Mailing address
150 S CENTER ST, LOWELL, MI 49331-1502
(616) 987-6033
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704279863
MI
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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