Individual
ANGELA CHRISTINE MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
625 32ND AVE SW, CEDAR RAPIDS, IA 52404-3947
(319) 363-2901
(319) 363-2903
Mailing address
3376 66TH ST, PALO, IA 52324-9621
(319) 436-4811
(319) 363-2903
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
03655
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0434506
—
IA
01
—
12250
WELLMARK BCBS
IA
01
—
F232553
MIDLANDS CHOICE
IA
01
—
P00137447
RAILROAD MEDICARE
IA
Enumeration date
07/17/2006
Last updated
07/08/2007
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