Individual
MR. RYAN BERNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
8705 THORNTREE DR, GROSSE ILE, MI 48138-1528
(313) 718-6411
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
20134120526
MI
363LA2100X
Acute Care Nurse Practitioner
20134120526
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704273382
MI
Other
Enumeration date
08/17/2021
Last updated
09/07/2021
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