Individual
MICHAEL PATRICK MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1330 MERCY DR NW, SUITE 522, CANTON, OH 44708-2626
(330) 588-4856
(330) 588-4857
Mailing address
1330 MERCY DR NW, SUITE 522, CANTON, OH 44708-2626
(330) 588-4856
(330) 588-4857
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
34.009124
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2955128
—
OH
01
—
P00935266
RAILROAD MEDICARE
OH
Enumeration date
02/27/2007
Last updated
06/28/2012
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