Individual
DR. CORNEL C VAN GORP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
442 W HIGH ST, BRYAN, OH 43506-1681
(419) 636-4517
Mailing address
5052 N CLINTON ST, FORT WAYNE, IN 46825-5822
(260) 484-8551
(260) 482-5060
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
35075876
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157068102
—
TX
Enumeration date
12/20/2005
Last updated
04/20/2026
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