Individual provider · Type 1 NPI

John Robert McCormick-Deaton, DO

Surgery Physician · Minneapolis, MN

NPI number 1699074229 Active

Practice location

500 Harvard St SE
Minneapolis, MN 55455-0363

Fax (612) 273-4370

Mailing address

919 Northland Dr
Princeton, MN 55371-2172

Other practice locations

  • 2333 Biddle Ave, Wyandotte, MI 48192-4668 · (734) 287-9029
  • 919 Northland Dr, Princeton, MN 55371-2172 · (763) 389-1313

Specialties and licenses

TaxonomyCodeLicense
Surgical Critical Care Physician 2086S0102X62156 (MN)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgery Physician Primary 208600000X62156 (MN)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1699074229

John Robert McCormick-Deaton, DO's National Provider Identifier is 1699074229, issued on Mar 22, 2011. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Minneapolis, MN. The record was last updated on Apr 24, 2018.