Mirjam McCormack, MD
Anesthesiology in Morrisville, VT. Individual provider (NPI-1).
NPI number1891716163
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1891716163
- Entity type
- Individual (NPI-1)
- Name
- Mirjam McCormack
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 0420010794 | VT | Yes |
Practice location
528 Washington HwyMorrisville, VT 05661-8973
Phone 802-888-8888
Mailing address
528 Washington HwyMorrisville, VT 05661-8973
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