Individual
COLIN MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 N PERRY ST, PONTIAC, MI 48342-2217
(248) 338-5392
Mailing address
50 N PERRY ST, PONTIAC, MI 48342-2217
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
780438
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2015
Last updated
06/26/2015
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