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MICHAEL JORDAN CORUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
25 MONUMENT RD, STE 290, YORK, PA 17403-5060
(717) 812-4090
(717) 812-4092
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 812-4090
(717) 812-4092

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
OS015990
PA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
OS015990
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
099187200
MD
05
103024377
PA
01
PO1801118
RAILROAD MEDICARE
PA
Enumeration date
06/29/2010
Last updated
07/21/2022
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