Edwin T Kornoelje, D.O.
NPI #1023071727 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1023071727
- Entity Type
- Individual
- Name
- Edwin T Kornoelje, D.O.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine - Sports Medicine
- Credential
- D.O.
- Enumeration Date
- Apr 11, 2006
- Last Updated
- Dec 5, 2017
Practice Location
- Address
- 4300 CASCADE RD SE
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49546-8328
- Phone
- (616) 252-1500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Physical Medicine & Rehabilitation - Sports Medicine — Sports Medicine |
| Family Medicine - Sports Medicine — Sports Medicine |
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Organizations
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|---|---|
| Family & Sports Medical Center | AI Deep Dive |
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