PENNY S CORNELIUS

GREEN BAY, WI
NPI1184609331
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  696-023)
Enumeration Date2005-12-09
Last Update Date2008-11-11
Business Address
-- PENNY S CORNELIUS PA
2618 FORESTVILLE DR
GREEN BAY, WI 54304-1358
Phone number: 920-496-1631
Mailing Address
-- PENNY S CORNELIUS PA
2618 FORESTVILLE DR
GREEN BAY, WI 54304-1358
Phone number: 920-496-1631