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Individual
ROLANDO MANALO BEREDO
Active
Individual
ROLANDO MANALO BEREDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
RB060312
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103863092
BCBS OF MICHIGAN
MI
05
—
4179560
—
MI
01
—
420017
PHP
MI
01
—
C1796
MCARE
MI
Enumeration date
10/19/2005
Last updated
07/08/2007
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