Individual
BLAIR PATRICK MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
725 AMERICAN AVE, WAUKESHA, WI 53188-5031
(262) 928-8800
Mailing address
106 MARSHALL ST, PEWAUKEE, WI 53072-3515
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
18797-33
WI
363LA2200X
Adult Health Nurse Practitioner
Primary
18797
WI
Other
Enumeration date
07/28/2026
Last updated
08/11/2026
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