Individual provider · Type 1 NPI

Jeffery James Cornell, PA-C

Medical Physician Assistant · Ann Arbor, MI

NPI number 1669722047 Active

Practice location

2000 Green Rd, Ste 300
Ann Arbor, MI 48105-1598

Call (734) 995-3764 Map

Fax (734) 995-2913

Mailing address

2333 Biddle Ave
Wyandotte, MI 48192-4668

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601006474 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1669722047

Jeffery James Cornell, PA-C's National Provider Identifier is 1669722047, issued on Sep 13, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Ann Arbor, MI. The record was last updated on Sep 13, 2012.