Edwin T Kornoelje
Family Doctor Family Doctor - Sports Medicine Sports Medicine
4300 Cascade Rd Se
Grand Rapids
, Michigan 49546-8328
Edwin T Kornoelje
Family Doctor Family Doctor - Sports Medicine Sports Medicine
4300 Cascade Rd Se
Grand Rapids
, Michigan 49546-8328
(616) 252-0260
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About
Features
Specialties
- Family Doctor
- Family Doctor - Sports Medicine
- Sports Medicine
Languages spoken
- English
Location
First Address
- Edwin T Kornoelje
- 5900 Byron Center Ave Sw Medical Administration
- Wyoming, MI
- Zip : 49519-9606
- Fax : (616) 252-0260
- Phone : (616) 252-3243
Second Address
- Edwin T Kornoelje
- 4300 Cascade Rd Se
- Grand Rapids, MI
- Zip : 49546-8328
- Fax : (616) 252-1599
- Phone : (616) 252-1500
Reviews
FAQs
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Where did Edwin T Kornoelje do his residency?
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What type of doctor is Edwin T Kornoelje
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Where is Edwin T Kornoelje ’s practice located?
What is Edwin T Kornoelje ’s gender?
Is Edwin T Kornoelje a sole practitioner?
Is Edwin T Kornoelje accepting new patients?
What languages does Edwin T Kornoelje speak?
Does Edwin T Kornoelje accept insurance?
Does Edwin T Kornoelje offers telemedicine?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 5101012620 | MI |
| Y | 207QS0010X | Family Doctor - Sports Medicine | 5101012620 | MI |
| N | 2081S0010X | Sports Medicine | 5101012620 | MI |
| N | 213ES0000X | Sports Medicine | 5101012620 | MI |
National Provider Identifier
| NPI | 1023071727 |
|---|---|
| Provider Name | Edwin T Kornoelje |
| First Address | Wyoming, MI 49519-9606 |
| Second Address | Grand Rapids, MI 49546-8328 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2006 |
| Last Update Date | 05/12/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.