Individual
JASON R CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9645 GROVE CIR N STE 100, MAPLE GROVE, MN 55369
(763) 302-4114
(763) 302-4081
Mailing address
9645 GROVE CIR N STE 100, MAPLE GROVE, MN 55369-4466
(763) 302-4114
(763) 302-4081
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
48590
MN
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
48590
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982610739
—
MN
01
—
P00733589
MEDICARE RAILROAD
MN
Enumeration date
08/01/2006
Last updated
05/18/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us