Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 001495 | MI |
Y | 222Z00000X | Podiatrist | 001495 | MI |
N | 213EP0504X | Public Medicine | 001495 | MI |
N | 111NR0200X | Radiology | 001495 | MI |
N | 213ER0200X | Radiology | 001495 | MI |
N | 2081S0010X | Sports Medicine | 001495 | MI |
N | 213ES0000X | Sports Medicine | 001495 | MI |
N | 213ES0103X | Foot & Ankle Surgery | 001495 | MI |
N | 213ES0131X | Foot Surgery | 001495 | MI |
NPI | 1295737096 |
---|---|
Provider Name | Dr. Robert Howard Cornfield |
First Address | Rochester Hills, MI 48306-4378 |
Second Address | Rochester Hills, MI 48306-4378 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2005 |
Last Update Date | 20/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U28845 | (02) | MI |