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Dr. Mary Louise McCormick, D.V.M.

Veterinarian in Minneapolis, MN. Individual provider (NPI-1).

NPI number1972890697
StatusActive
Last updated in NPPESJul 1, 2011

Details

NPI
1972890697
Entity type
Individual (NPI-1)
Name
Dr. Mary Louise McCormick
Credential
D.V.M.
Sex
Female
Sole proprietor
No
Enumeration date
Jul 1, 2011
Last updated
Jul 1, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174M00000X Veterinarian10494MNYes

Practice location

2503 37th Ave Ne
Minneapolis, MN 55421-4214

Phone 612-781-2734 · Fax 612-789-2499

Mailing address

17193 Garden Grove Rd Se
Becker, MN 55308-9132

Phone 763-262-1268

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