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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. BLAINE MICHAEL CORNELIUS, P.A.

Active

MR. BLAINE MICHAEL CORNELIUS, P.A. is a Physician Assistant healthcare provider located in GOTHENBURG, Nebraska. NPI 1811941404 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · GOTHENBURG, NE

Registration Details

NPI Number
1811941404
Provider Type
Individual
Gender
Male
NPI Issued
May 19, 2006 (20.056382029301 yrs)
Last Updated
Jan 31, 2013
License
1251 (NE)

Practice Information

Address
619 10TH ST
GOTHENBURG, NE, 691382063
Browse NE providers · Browse ZIP 69138
Phone
3085373674
Fax
3085373675
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in GOTHENBURG, NE

Name Credential NPI
MR. AARON I SALOMON PAC 1689736019
BRITNEY RANEE WEVER PA-C 1720380553
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.