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Contact Information

MICHAEL P MCCORMACK, DO
1330 MERCY DR NW
SUITE 522
CANTON, OH44708-2626
 Phone: 330-588-4856
 Fax: 330-588-4857
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MICHAEL P MCCORMACK · (Male)

NPI # 1922135136
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 02/27/2007
Last updated 06/28/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 34.009124
  • OH Medicaid 2955128
  • OH Other P00935266 RAILROAD MEDICARE
Hospital affiliation(s)
  • MERCY MEDICAL CENTER - (Acute Care)
    1320 MERCY DRIVE NW
    CANTON, OH 44708
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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