SearchWisconsin208M00000X

Shannon Mccormack, D.O

NPI 1588924054 · on the registry since 2012

Practice

Address
1969 W Hart Rd
Beloit Memorial Hospital
Beloit, WI 53511
Phone
(608) 363-5971
Fax
(608) 363-5737
Organisation at this address
Tmf Group Corp
Ambler Dialysis Llc
Beloit Radiology Ltd
Hart Road Pathology Sc
Taylor Family Group Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
116

Registry record

Primary taxonomy
208M00000X
208M00000X
Also registered as
207R00000X
390200000X
207R00000X
Licence states on file
MI, WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-11-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin