Individual
CLAIRE CORNELUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
145 MICHIGAN ST NE STE 3100, GRAND RAPIDS, MI 49503-2563
(616) 954-9800
(616) 954-1724
Mailing address
5800 FOREMOST DR SE STE 300, GRAND RAPIDS, MI 49546-7062
(616) 389-1561
(616) 954-0659
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601013405
MI
Other
Enumeration date
09/10/2025
Last updated
08/06/2026
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