Individual
DR. DENNIS L MCCORMACK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1716 S LILLEY RD, CANTON, MI 48188-1108
(734) 394-0771
(734) 394-2528
Mailing address
49196 ANDOVER CT, CANTON, MI 48187-1120
(734) 667-2012
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DM2301005936
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112371
PREFERRED CARE CHOICES
MI
05
—
3296688
—
MI
01
—
4800650
CIGNA
MI
01
—
617443
ACN
MI
01
—
CH820019
MCARE
MI
Enumeration date
05/13/2006
Last updated
07/08/2007
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