Mccormick, Michael Edward

Mccormick, Michael Edward is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Otolaryngology, Milwaukee WI 53226-4874. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is his primary health care specialty. Mccormick, Michael Edward can be contacted via phone (414) 266-6460.

Contact Information

Primary practice address
9000 W Wisconsin Ave Pediatric Otolaryngology Milwaukee WI 53226-4874
Fax: (414) 266-2693
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 57224 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 57224 Wisconsin
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 4301088584 Michigan

Profile Details

NPI number 1528262839
LBN Legal business name Mccormick, Michael Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2007
Last updated Mar 4th, 2024 - about 9 months 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 1528262839 NPPES
Wisconsin MEDICAID 1528262839

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