person
Dr. Michael Joseph Cornelison, DPM
Foot & Ankle Surgery Podiatrist in Cupertino, California
NPI 1215020730

Michael Joseph Cornelison is a Foot & Ankle Surgery Podiatrist based in Cupertino, CA and is specialized in Foot & Ankle Surgery. Michael Joseph Cornelison practices in Cupertino, CA and has the professional credentials of DPM. The NPI Number for Michael Joseph Cornelison is 1215020730 and holds a License No. E4260 (California).

The current practice location address for Michael Joseph Cornelison is 10353 Torre Ave, Cupertino, CA and can be reached out via phone at 408-446-5811 and via fax at 408-996-1637.

Location: 10353 Torre Ave, Cupertino, CA, 95014-3217
person
Provider Profile Details
NPI Number
1215020730
Provider Name
Michael Joseph Cornelison
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
10353 Torre Ave, Cupertino, CA, 95014-3217
Phone Number
408-446-5811
Fax Number
408-996-1637
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
E4260 01 CA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
10353 Torre Ave
City
State
Zip
95014-3217
Phone Number
408-446-5811
Fax Number
408-996-1637
person
Provider Business Mailing Address Details
Address
10353 Torre Ave
City
State
Zip
95014-3217
Phone Number
408-446-5811
Fax Number
408-996-1637
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E4260 (California)
Definition
Definition to come...
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