Individual
JASON R CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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