Mary Louise McCormick, D.V.M.

Primary specialty

VeterinarianTaxonomy code 174M00000X

License

10494 Issued in MN

Practice address

2503 37TH Ave NE
Minneapolis, MN 55421-4214

Phone

(612) 781-2734

Fax

(612) 789-2499

NPI assigned

Jul 1, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1972890697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17193 GARDEN GROVE RD SE",
            "city": "BECKER",
            "state": "MN",
            "postal_code": "553089132",
            "telephone_number": "763-262-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 37TH AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554214214",
            "telephone_number": "612-781-2734",
            "fax_number": "612-789-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "MARY LOUISE",
        "name_prefix": "Dr.",
        "credential": "D.V.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "MN",
            "license": "10494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dolo McComb
• Suzanne McConn
• Annamaria McConville, P.T.
• John Robert McCormick-Deaton, D.O.
• Margaret Mary McCormick, RN, BSN, LPC
• Megan McCormick
• Nicole Ann McCormick, DO
• Paul C McCormick, MD
• Stanley Royce McCormick, MD
• Jazymne Mychelle McCorvey

• Veterinarian in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Veterinarian in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.