Individual
MR. DAVID BRUCE CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
729 W HOUGHTON LAKE DR, PRUDENVILLE, MI 48651-8462
(989) 366-5324
(989) 366-9218
Mailing address
729 W HOUGHTON LAKE DR, PRUDENVILLE, MI 48651-8462
(989) 366-5324
(989) 366-9218
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302021915
MI
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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