Dr. Michele M. McCormick, M.D.
Pediatrics in Skowhegan, ME. Individual provider (NPI-1).
NPI number1831242841
StatusActive
Last updated in NPPESJul 3, 2023
Details
- NPI
- 1831242841
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michele M. McCormick
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 21, 2007
- Certification date
- Jul 3, 2023
- Last updated
- Jul 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | MD17639 | ME | Yes |
| 208000000X | Pediatrics | MD 2007-0002 | NM | |
| 208000000X | Pediatrics | MD-061821-L | PA | |
| 208000000X | Pediatrics | 9600207 | NC |
Practice location
46 Fairview Ave Ste 225Skowhegan, ME 04976-1481
Phone 207-474-6265 · Fax 207-474-8365
Mailing address
Po Box 468Skowhegan, ME 04976-0468
Phone 207-858-8367 · Fax 207-474-9261
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