Whalio Doctors

NPI 1083889414

Jennifer M.H. McCormack, MD

Practitioner Pediatrics Physician Woodbury, MN

Practice location

Address
8450 Seasons Parkway Healthpartners Woodbury Clinic Ms 32900a, Woodbury, MN 55125-4402
Phone
(651) 702-5300
Fax
(651) 702-5305
Mailing address
8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516

Registered specialties

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 52494 (MN)

Registry record

NPI
1083889414
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 Apr 2008
Record last updated
4 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.