Individual provider · Type 1 NPI

Roxanne Kay Cornelius, PA-C

Medical Physician Assistant · Grand Rapids, MI

NPI number 1467798231 Active

Practice location

555 Midtowne St NE, Suite 110
Grand Rapids, MI 49503-5729

Call (616) 588-8880 Map

Mailing address

8849 Tamarisk Circle
Richland, MI 49083

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601003078 (MI)

Medical Physician Assistant: Definition to come...

20 other providers at this address

Other medical physician assistant providers in Grand Rapids

See all in Grand Rapids →

About NPI 1467798231

Roxanne Kay Cornelius, PA-C's National Provider Identifier is 1467798231, issued on Dec 21, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Dec 21, 2012.