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Individual

ERNESTO HERMOSILLA BEDIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
43565 ELIZABETH ST, MOUNT CLEMENS, MI 48043-1034
(586) 307-9611
Mailing address
809 PINE THISTLE LN, BLOOMFIELD HILLS, MI 48302-2017
(248) 646-1716

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5315025174
MI

Other

Enumeration date
12/12/2006
Last updated
07/08/2007
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