Individual
JASON CHRISTOPHER CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
602 MICHIGAN AVE, HOLLAND, MI 49423-4918
(616) 546-4950
Mailing address
602 MICHIGAN AVE, HOLLAND, MI 49423-4918
(616) 546-4950
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.068764
IL
207R00000X
Internal Medicine Physician
Primary
4301118983
MI
Other
Enumeration date
06/16/2016
Last updated
07/16/2019
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