Individual provider · Type 1 NPI
Michael R. McCormick, PA
Surgical Physician Assistant · Onalaska, WI
NPI number
1700880333
Active
Practice location
3111 Gunderson Drive
Onalaska, WI 54650-8512
Mailing address
1836 South Ave
La Crosse, WI 54601-5429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 9485 (MN) |
| Surgical Physician Assistant Primary | 363AS0400X | 1178 (WI) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
Other surgical physician assistant providers in Onalaska
About NPI 1700880333
Michael R. McCormick, PA's National Provider Identifier is 1700880333, issued on Jun 10, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Onalaska, WI. The record was last updated on Jul 30, 2015.