Individual
ALBERT S CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
35 MICHIGAN ST NE FL 2, GRAND RAPIDS, MI 49503-2514
(616) 267-1925
(616) 267-1005
Mailing address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
4301047314
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104103272
BCBSM
MI
05
—
3155017
—
MI
Enumeration date
01/26/2006
Last updated
05/08/2025
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