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:
Health care specialties
Specialty | Code | License # | 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 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366557852 | NPPES |
Wisconsin | Other | 220030087 | MEDICARE RAILROAD |
Wisconsin | MEDICAID | 32636100 | MEDICARE RAILROAD |
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