Individual
DR. MICHAEL EDWARD MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9000 W WISCONSIN AVE, PEDIATRIC OTOLARYNGOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-6460
(414) 266-2693
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC OTOLARYNGOLOGY, MILWAUKEE, WI 53226-4874
(414) 266-6460
(414) 266-2693
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
4301088584
MI
207Y00000X
Otolaryngology Physician
57224
WI
207YP0228X
Pediatric Otolaryngology Physician
Primary
57224
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528262839
—
WI
Enumeration date
06/12/2007
Last updated
03/04/2024
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