Individual
DR. MELISSA MARIE MCCORMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
301 SETON PKWY STE 407, ROUND ROCK, TX 78665-8003
(512) 324-4071
Mailing address
28319 HAWKS RIDGE DR, CANYON COUNTRY, CA 91351-5022
(517) 927-4138
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
20A15522
CA
207V00000X
Obstetrics & Gynecology Physician
5101019090
MI
207V00000X
Obstetrics & Gynecology Physician
Primary
S3241
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2009
Last updated
06/22/2022
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