EDWIN T KORNOELJE D.O.
Individual Provider (NPI-1)
Active
Family Medicine, Sports Medicine
Provider Information
- NPI Number
1023071727- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.O.
- Status
- Active
Contact & Location
- Address
- 4300 CASCADE RD SE, GRAND RAPIDS, MI, 495468328
- Phone
- (616) 252-1500
- Fax
- (616) 252-1599
Specialties & Taxonomies
Family Medicine
License: MI #5101012620
Physical Medicine & Rehabilitation, Sports Medicine
License: MI #5101012620
Family Medicine, Sports Medicine
Primary License: MI #5101012620