Individual
BERNADETTE GENDERNALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
37399 GARFIELD RD STE 203, PROVIDER RETIRED, CLINTON TWP, MI 48036
(586) 228-2911
Mailing address
37399 GARFIELD RD STE 203, PROVIDER RETIRED, CLINTON TWP, MI 48036
(586) 228-2911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101009641
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4392670
—
MI
Enumeration date
07/12/2005
Last updated
03/17/2020
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