Individual
CLINTON CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
8595 BEECHMONT AVE STE 200, CINCINNATI, OH 45255
(513) 713-0177
Mailing address
8595 BEECHMONT AVE STE 200, CINCINNATI, OH 45255-4740
(513) 713-0177
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003457
MI
Other
Enumeration date
07/17/2006
Last updated
09/20/2018
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