Individual
HUMBERTO BERNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18100 OAKWOOD BLVD, STE 203, DEARBORN, MI 48124-4085
(313) 336-7400
Mailing address
18100 OAKWOOD BLVD, #203, DEARBORN, MI 48124-4071
(313) 336-7400
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301044715
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3515265
—
MI
01
—
383438259
COMMERCIAL
MI
01
—
HB044715
BCBS
MI
Enumeration date
02/17/2006
Last updated
12/14/2017
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