Jan R Kornilow, M.d., LLC

NPI #1437183381 in Muncie, Indiana

Provider Information

NPI Number: 1437183381
Entity Type: Organization
Organization Name: Jan R Kornilow, M.d., LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Jul 10, 2006
Last Updated: Jul 29, 2014

Practice Location

Address: 2901 W JACKSON ST
City: Muncie
State: Indiana
ZIP Code: 47304-4307
Phone: (765) 751-5010

Authorized Official

Name: JAN R KORNILOW, M.D.
Title: OWNER
Phone: (260) 969-1950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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