Doctor Name: | CURTIS L CORNELLA-CARLSON |
NPI Number: | 1205867611 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 45926 |
Business Practice Address: | 3289 N Mayfair Rd Wauwatosa, WI - 53222 |
Business Phone Number: | 4147717900 |
Business Fax Number: | 4146076336 |
Mailing Address: | 3003 W Good Hope Rd, MILWAUKEE |
State: | WI |
Postal Code: | 53209 |
Phone Number: | 4143523100 |
Fax Number: | |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 09/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 45926 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |