Individual
JERRY MICHAEL MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6845 LEE AVE N, MAIL STOP 31400A, BROOKLYN CENTER, MN 55429-1717
(763) 569-0300
(763) 569-0311
Mailing address
6845 LEE AVE N, 31400A, BROOKLYN CENTER, MN 55429-1717
(763) 503-4395
(763) 503-4395
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
24722
WI
207N00000X
Dermatology Physician
Primary
29706
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158380800
—
MN
Enumeration date
02/23/2006
Last updated
08/20/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us