Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY MICHAEL MCCORMICK, MD
ActiveJERRY MICHAEL MCCORMICK, MD is a Dermatology healthcare provider located in BROOKLYN CENTER, Minnesota. NPI 1811962616 is currently active in the NPPES registry. Verify at CMS.
Dermatology · BROOKLYN CENTER, MN
Registration Details
- NPI Number
- 1811962616
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 23, 2006 (20.511614242051 yrs)
- Last Updated
- Aug 20, 2008
- Licenses
-
29706 (MN)24722 (WI)
Practice Information
- Address
-
6845 LEE AVE NMAIL STOP 31400ABROOKLYN CENTER, MN, 554291717Browse MN providers · Browse ZIP 55429
- Phone
- 7635690300
- Fax
- 7635690311
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.