Individual
NATHAN CORNWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2312 23RD ST, SPIRIT LAKE, IA 51360-1044
(712) 336-1960
Mailing address
2312 23RD ST, SPIRIT LAKE, IA 51360-1044
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
139000
IA
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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