Individual
SERGE CORMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12 HARTMAN PLAZA, BUCKHANNON, WV 26201
(304) 473-0670
(304) 472-5255
Mailing address
66 HOSPITAL PLAZA, SUITE 103, WESTON, WV 26452
(304) 269-3108
(304) 269-3109
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
16774
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000708293
MOUNTAIN STATE BCBS
WA
05
—
0092089000
—
WV
Enumeration date
08/29/2006
Last updated
12/17/2009
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