Individual
DR. GEOFFREY DEE CORNELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5160 LINCOLN DR, EDINA, MN 55436-1010
(515) 779-3828
Mailing address
5160 LINCOLN DR, EDINA, MN 55436-1010
(515) 779-3828
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OT012680
PA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
006377
AZ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
56152
MN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
OS015070
PA
Other
Enumeration date
07/22/2008
Last updated
05/09/2014
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