Individual
MICHAEL JORDAN CORUM
Active
Individual
MICHAEL JORDAN CORUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
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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