Individual
BERNARD DEGNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 W 13 MILE RD # 707, ROYAL OAK, MI 48073-6770
(248) 551-0487
Mailing address
22201 MOROSS RD, SUITE 270, DETROIT, MI 48236-2169
(313) 343-3809
(313) 417-0560
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
4301069431
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3366639
—
MI
Enumeration date
09/08/2005
Last updated
10/21/2020
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