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Individual

RICHARD LEE BERNHARDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
14519 DETROIT AVE, DEPARTMENT OF SURGERY, LAKEWOOD, OH 44107-4316
(216) 529-7145
Mailing address
14519 DETROIT AVE, DEPARTMENT OF SURGERY, LAKEWOOD, OH 44107-4316
(216) 529-7145

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
09/10/2009
Last updated
09/25/2014
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