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NPI Code Detail

MEDICARE: DR. TRISHA L. MCCORMICK DO

MEDICARE: DR. TRISHA L. MCCORMICK DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician0102202704VA

General Provider Information

NPI Number : 1275762981
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TRISHA L. MCCORMICK DO
Provider Business Mailing Address
First Line : 7974 UW HEALTH CT
Second Line :
City : MIDDLETON
State : WI
Zip : 53562-5531
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2651 WINDSOR ST
Second Line :
City : SUN PRAIRIE
State : WI
Zip : 53590-9825
Country : US
Telephone Number : 608-837-2206
Fax Number : 608-837-9752
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2009
Last Update Date : 01/29/2021

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Directions to “ DR. TRISHA L. MCCORMICK DO” Practice Location

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