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Contact Information

ALBERT S CORNELIUS, MD
35 MICHIGAN ST NE FL 2
GRAND RAPIDS, MI49503-2514
 Phone: 616-267-1925
 Fax: 616-267-1005
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Hematology-Oncology

2080P0207X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ALBERT S CORNELIUS · (Male)

NPI # 1417927781
Status Active
Credentials MD
Entity Individual
Enumeration date 01/26/2006
Last updated 05/08/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301047314
  • MI Medicaid 3155017
  • MI Other 1104103272 BCBSM
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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