Individual
DR. BRANDON MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1405 7TH ST S, MOORHEAD, MN 56560-3444
(218) 233-7508
Mailing address
4434 16TH ST S, MOORHEAD, MN 56560-6995
(320) 808-0159
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12912
MN
225100000X
Physical Therapist
2521
ND
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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