DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MADYSEN MICHELLE MCCORMICK

MEDICARE: MADYSEN MICHELLE MCCORMICK
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
1363A00000XPhysician Assistant15037MN

General Provider Information

NPI Number : 1376266791
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADYSEN MICHELLE MCCORMICK
Provider Business Mailing Address
First Line : 200 1ST ST SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55905-0001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2165 WHITE BEAR AVE N
Second Line :
City : MAPLEWOOD
State : MN
Zip : 55109-2707
Country : US
Telephone Number : 651-523-9800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2022
Last Update Date : 10/03/2024

Similar Medicare Providers

1386636553 — NICOLE D SILLOWAY PA-C
Practice Location Address:
2165 WHITE BEAR AVE N
MAPLEWOOD, MN
55109-2707
Practice Phone: 651-523-9800
Practice Fax:
1235198078 — LINDA K FERRARIO
Practice Location Address:
2165 WHITE BEAR AVE N
MAPLEWOOD, MN
55109-2707
Practice Phone: 651-523-9800
Practice Fax: 651-523-9801
1871553461 — LORI A RICKE M.D.
Practice Location Address:
2165 WHITE BEAR AVE N
MAPLEWOOD, MN
55109-2707
Practice Phone: 651-523-9800
Practice Fax: 651-523-9801
1144312026 — DR. AMANDA JO PERKINS PHARM D.
Practice Location Address:
2165 WHITE BEAR AVE N
MAPLEWOOD, MN
55109-2707
Practice Phone: 612-740-6515
Practice Fax:
1043365208 — GROUP HEALTH PLAN INC
Practice Location Address:
2165 WHITE BEAR AVE N
MAPLEWOOD, MN
55109-2707
Practice Phone: 651-770-8828
Practice Fax: 651-779-1570
1407970973 — OCG LTD
Practice Location Address:
2165 WHITE BEAR AVE N
MAPLEWOOD, MN
55109-2707
Practice Phone: 651-748-0098
Practice Fax:
1427252329 — TARA Y THOMAS MD
Practice Location Address:
2165 WHITE BEAR AVE N
MAPLEWOOD, MN
55109-2707
Practice Phone: 651-523-9800
Practice Fax: 651-523-9801

Directions to “ MADYSEN MICHELLE MCCORMICK ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.