Mccormick, Michael Byron

Mccormick, Michael Byron is an individual health care provider with primary practice located at 2300 Western Ave , Manitowoc WI 54220-3712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Mccormick, Michael Byron can be contacted via phone (920) 320-2011.

Contact Information

Primary practice address
2300 Western Ave Manitowoc WI 54220-3712
Phone: (920) 320-2011
Fax: (920) 320-5129
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 38424 Wisconsin

Profile Details

NPI number 1366557852
LBN Legal business name Mccormick, Michael Byron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Sep 13th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366557852 NPPES
Wisconsin Other 220030087 MEDICARE RAILROAD
Wisconsin MEDICAID 32636100 MEDICARE RAILROAD

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