NPI 1891716163 · live from the CMS NPI Registry
Mirjam Mccormack, MD
Anesthesiology in Morrisville, VT. National Provider Identifier 1891716163, active.
NPI record
| NPI | 1891716163 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 528 Washington Hwy, Morrisville, VT 05661 |
| Practice phone | 802-888-8888 |
| Enumerated | July 22, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology primary | 207L00000X | 0420010794 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.