# HUMBERTO BERNAL MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528254935
- **Authorized official:** DR. HUMBERTO GUILLERMO BERNAL MD (PRESIDENT)
- **Authorized official phone:** (313) 336-7400

## Contact information

- **Practice address:** 18100 OAKWOOD BLVD, SUITE 203, DEARBORN, MI 48124-4085
- **Practice address phone:** (313) 336-7400
- **Practice address fax:** (313) 336-6709
- **Mailing address:** 18100 OAKWOOD BLVD, SUITE 203, DEARBORN, MI 48124-4085
- **Mailing address phone:** (313) 336-7400
- **Mailing address fax:** (313) 336-6709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 4301044715 | MI | Yes |

## Other

- **Enumeration date:** 09/19/2007
- **Last updated:** 05/01/2013