Individual
DR. MICHAEL DAVID CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1700 HENRY LUCKOW LN, BELVIDERE, IL 61008
(779) 696-8650
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
(779) 696-7342
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016-005546
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
997-25
WI
Other
Enumeration date
08/20/2010
Last updated
02/18/2021
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