Individual
ISSA BERNALIN HERNAEZ MASLOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3950 HOLLYWOOD RD STE 270, SAINT JOSEPH, MI 49085-9158
(269) 983-0500
Mailing address
3950 HOLLYWOOD RD STE 270, SAINT JOSEPH, MI 49085-9158
(269) 983-0500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0000000
MI
207R00000X
Internal Medicine Physician
Primary
4301518466
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2023
Last updated
07/22/2026
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