MR. Blaine Michael Cornelius, P.A.
NPI #1811941404 in Gothenburg, Nebraska
Provider Information
- NPI Number
- 1811941404
- Entity Type
- Individual
- Name
- MR. Blaine Michael Cornelius, P.A.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- P.A.
- Enumeration Date
- May 19, 2006
- Last Updated
- Jan 31, 2013
Practice Location
- Address
- 619 10TH ST
- City
- Gothenburg
- State
- Nebraska
- ZIP Code
- 69138-2063
- Phone
- (308) 537-3674
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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