Individual
DR. NATHAN MICHAEL CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1965 CLIFF LAKE RD STE 103, EAGAN, MN 55122-2591
(651) 340-2609
Mailing address
2421 HANLEY RD, STE 800, HUDSON, WI 54016-8400
(715) 386-4075
(715) 386-4069
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5760
MN
Other
Enumeration date
02/19/2013
Last updated
05/05/2016
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