person
Michael R Mccormick, PA
Surgical Physician Assistant in Onalaska, Wisconsin
NPI 1700880333

Michael R Mccormick is a Surgical Physician Assistant based in La Crosse, WI and is specialized in Surgical. Michael R Mccormick practices in Onalaska, WI and has the professional credentials of PA. The NPI Number for Michael R Mccormick is 1700880333 and holds a License No. 9485 (Wisconsin).

The current practice location address for Michael R Mccormick is 3111 Gunderson Drive, Onalaska, WI and can be reached out via phone at 608-796-8630.

Location: 3111 Gunderson Drive, Onalaska, WI, 54601-5429
person
Provider Profile Details
NPI Number
1700880333
Provider Name
Michael R Mccormick
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
3111 Gunderson Drive, Onalaska, WI, 54601-5429
Phone Number
608-796-8630
Fax Number
Provider Enumeration Date
06/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42989500 05 WI
institution
Provider Business Practice Location Address Details
Address
3111 Gunderson Drive
City
State
Zip
54650-8512
Phone Number
608-796-8630
Fax Number
person
Provider Business Mailing Address Details
Address
3111 Gunderson Drive
City
State
Zip
54650-8512
Phone Number
608-796-8630
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
9485 (Minnesota)
Definition
Definition to come...
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