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Individual

JACK CHAMPNEY CORNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1120 POLARIS PKWY STE 105A, COLUMBUS, OH 43240-4042
(614) 505-0388
(855) 734-2645
Mailing address
15371 HEMLOCK POINT RD, CHAGRIN FALLS, OH 44022-3801
(440) 223-8848

Taxonomy

Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary

Other

Enumeration date
12/09/2024
Last updated
12/09/2024
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