Individual
BRENT ALEXANDER BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4405 NORTH HOLLAND SYLVANIA RD, TOLEDO, OH 43623
(419) 517-0146
(419) 517-0147
Mailing address
3436 MOFFAT RD, TOLEDO, OH 43615
(614) 595-0563
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003722
OH
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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