Individual
EVENTURE DULDULAO BERNARDINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6297 DIXIE HWY, BRIDGEPORT, MI 48722-9635
(989) 759-6460
(989) 759-6465
Mailing address
501 LAPEER, HEALTH DELIVERY INC, SAGINAW, MI 48607-1208
(989) 759-6464
(989) 399-8233
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301068741
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080179045
RAILROAD MEDICARE
—
01
—
080G310660
BCBS
MI
01
—
0985019
HEALTHPLUS OF MICHIGAN
—
01
—
1010674
MCLAREN HEALTH PLAN
—
01
—
11812
GREAT LAKES HEALTH PLAN
—
05
—
1447248232
—
MI
01
—
159
COMMUNITY CHOICE
MI
01
—
381908328
UNDER
—
01
—
4336750
MOLINA HEALTH CARE OF MIC
—
05
—
4336750
—
MI
01
—
5128736
AETNA
—
01
—
P101711
BLUE CARE NETWORK OF MICH
—
Enumeration date
10/06/2005
Last updated
04/08/2021
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