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Organization

MANUEL S BERNARDO M D INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MANUEL S BERNARDO M.D. (PRESIDENT)
(419) 691-5484
Entity
Organization

Contact information

Practice address
3515 NAVARRE AVE, OREGON, OH 43616-3429
(419) 691-5484
Mailing address
PO BOX 167879, OREGON, OH 43616-7879
(419) 691-5484

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35034078
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0227703
OH
01
1265496038
NPI
OH
Enumeration date
04/08/2010
Last updated
04/08/2010
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