Cassandra Wormack
Family Doctor General Practice Physician Obstetrician & Gynecologist
2205 Jolly Rd Ste. B
Okemos
, Michigan 48864-3983
Cassandra Wormack
Family Doctor General Practice Physician Obstetrician & Gynecologist
2205 Jolly Rd Ste. B
Okemos
, Michigan 48864-3983
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About
Features
Specialties
- Family Doctor
- Obstetrician & Gynecologist
- General Practice Physician
Languages spoken
- English
Location
First Address
- Cassandra Wormack
- 39465 W 14 Mile Rd
- Novi, MI
- Zip : 48377-1600
- Phone :
Second Address
- Cassandra Wormack
- 2205 Jolly Rd Ste. B
- Okemos, MI
- Zip : 48864-3983
- Fax : (517) 347-4170
- Phone : (517) 347-4085
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 4301072467 | MI |
| N | 207V00000X | Obstetrician & Gynecologist | 4301072467 | MI |
| N | 208D00000X | General Practice Physician | 4301072467 | MI |
National Provider Identifier
| NPI | 1023217437 |
|---|---|
| Provider Name | Cassandra Wormack |
| First Address | Novi, MI 48377-1600 |
| Second Address | Okemos, MI 48864-3983 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/07/2007 |
| Last Update Date | 01/11/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5199852 | (05) | MI |
| I03983 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.