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Organization

CORNELL HEALTH AND WELLNESS

Active
Other names
Central michigan urgent care
Organization subpart
No

Provider details

NPI number
Authorized official
CLINT JAMES CORNELL PA (OWNER)
(989) 773-3789
Entity
Organization

Contact information

Practice address
520 N MISSION ST, MT PLEASANT, MI 48858-1828
(989) 773-3789
(989) 773-0558
Mailing address
520 N MISSION ST, MT PLEASANT, MI 48858-1828
(989) 773-3789
(989) 773-0558

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003457
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1326065913
NPI
MI
Enumeration date
12/13/2006
Last updated
11/14/2011
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