Search › Wisconsin › 1223S0112X
Ernst Cornielsen, D.D.S
NPI 1447268651 · on the registry since 2006
Practice
- Address
- 312 Center St
Lake Geneva, WI 53147 - Phone
- (262) 248-2868
- Fax
- (262) 248-7274
- Organisation at this address
- Lake Geneva Oral And Maxillofacial Surgery, Ltd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Also registered as
- 1223S0112X
- Licence states on file
- WI, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin