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Individual
ERNST A. CORNIELSEN
Active
Individual
ERNST A. CORNIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1732-G
WI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
IL
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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