PENNY CORNELIUS, PA

Physician Assistant

Active Individual
NPI: 1184609331

Practice Address

2618 FORESTVILLE DR
Green Bay, WI 54304

Phone: (920) 496-1631

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 696-023 (WI)

Frequently Asked Questions

NPI 1184609331 is the National Provider Identifier for PENNY CORNELIUS, PA, a Physician Assistant provider located in Green Bay, WI. This NPI was enumerated on December 9, 2005.
PENNY CORNELIUS, PA practices at 2618 FORESTVILLE DR, Green Bay, WI 54304.

Quick Facts

NPI
1184609331
Type
Individual
Enumerated
Dec 9, 2005
Last Updated
Nov 11, 2008

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