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Andrea D McCormick

Registered Nurse in Canton, MI. Individual provider (NPI-1).

NPI number1033713367
StatusActive
Last updated in NPPESNov 27, 2020

Details

NPI
1033713367
Entity type
Individual (NPI-1)
Name
Ms. Andrea D McCormick
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 27, 2020
Certification date
Nov 27, 2020
Last updated
Nov 27, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse4704217805MIYes

Other names

  • Andrea D McCormick (Professional Name)

Practice location

6223 N Canton Center Rd Ste 201
Canton, MI 48187-2696

Phone 734-844-6533

Mailing address

6223 N Canton Center Rd Ste 201
Canton, MI 48187-2696

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