Individual
DR. RANDALL MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2409 CHERRY ST, SUITE 207, TOLEDO, OH 43608-2625
(419) 251-4316
(419) 251-3572
Mailing address
2409 CHERRY ST, SUITE 207, TOLEDO, OH 43608-2625
(419) 251-4316
(419) 251-3572
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35044594
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0426024
—
OH
01
—
207R00000X
TAXONOMY CODE
OH
01
—
35044594
OHIO LICENSE #
OH
Enumeration date
06/22/2005
Last updated
11/01/2012
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