Individual
DR. TOBY CHARLES CORNISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6966
(414) 805-6980
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6966
(414) 805-6980
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
D70746
MD
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
83540
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
540035000
—
MD
Enumeration date
01/11/2007
Last updated
03/22/2024
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