Individual
DR. WILLIAM EUGENE CORNATZER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 N 7TH ST # 2, UNITED BANK BLDG, BISMARCK, ND 58501-4417
(701) 224-1273
(701) 323-2929
Mailing address
225 N 7TH ST # 2, UNITED BANK BLDG, BISMARCK, ND 58501-4417
(701) 224-1273
(701) 323-2929
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5189
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1343
BLUE CROSS & BLUE SHIELD
ND
05
—
15003
—
ND
Enumeration date
03/21/2006
Last updated
09/26/2007
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