Michael Kelly Mccormick in Cambridge - Nurse Anesthetist, Certified Registered

Michael Kelly Mccormick - NPI 1972684892

Michael Kelly Mccormick is a Nurse Anesthetist, Certified Registered in Cambridge, Minnesota. Michael Kelly Mccormick practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Michael Kelly Mccormick is 1972684892. The last update date is 2007-07-08.

Michael Kelly Mccormick's current location address is 701 Dellwood St S, Cambridge, Minnesota. You can contact this provider via phone number 7636897700 and fax number 7636897941. The mailing address for Michael Kelly Mccormick is 701 Dellwood St S, Cambridge, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Kelly Mccormick
Address 701 Dellwood St S, Cambridge, Minnesota
Phone Number 7636897700
Fax Number 7636897941
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1972684892
Provider Enumeration Date 2006-10-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 701 Dellwood St S
City Cambridge
State Minnesota (MN)
Post Code 550081920
Phone Number 7636897700
Fax Number 7636897941

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
Taxonomy 367500000X
Licence No R102090-8
Definition:
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
767043500 MN --

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FAQs about Michael Kelly Mccormick

What is the Michael Kelly Mccormick's 1972684892?

The Michael Kelly Mccormick's NPI (National Provider Identifier) Number is 1972684892. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Michael Kelly Mccormick is physically located?

The Michael Kelly Mccormick is physically situated at the following address: 701 Dellwood St S, Cambridge, MN, 550081920.

What is Michael Kelly Mccormick's specialized field of practice, and what is the corresponding taxonomy classification code?

The Michael Kelly Mccormick's area of specialization is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this field of practice is 367500000X.

On what date was the 1972684892 assigned to Michael Kelly Mccormick?

The Michael Kelly Mccormick was issued its 1972684892 on 2006-10-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Michael Kelly Mccormick, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Michael Kelly Mccormick, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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