MEDICARE: DR. ROBERT CURTIS CORN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	35-039488	OH
2	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	35-039488	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427087907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT CURTIS CORN M.D.

Provider Business Mailing Address
First Line	:	24701 EUCLID AVE
Second Line	:	THIRD FLOOR BILLING SERVICES
City	:	EUCLID
State	:	OH
Zip	:	44117-1714
Country	:	US
Telephone Number	:	440-646-9636
Fax Number	:	440-995-3816

Provider Business Practice Location Address
First Line	:	5885 LANDERBROOK DR
Second Line	:	SUITE 150
City	:	MAYFIELD HEIGHTS
State	:	OH
Zip	:	44124-4045
Country	:	US
Telephone Number	:	440-646-9636
Fax Number	:	440-995-3816

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	12/23/2013

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