Provider Demographics
NPI:1306188750
Name:MCCORMICK, ERIN (DVM)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:MCCORMICK
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:755 CAPITAL DR SW
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52404-8949
Mailing Address - Country:US
Mailing Address - Phone:319-841-5161
Mailing Address - Fax:
Practice Address - Street 1:755 CAPITAL DR SW
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52404-8949
Practice Address - Country:US
Practice Address - Phone:319-841-5161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-25
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL090010822174M00000X
IA7830174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian