Individual
KURT R BERNSDORFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5700 MONROE ST UNIT 103, SYLVANIA, OH 43560-2771
(419) 843-7996
(419) 841-7704
Mailing address
5700 MONROE ST UNIT 103, SYLVANIA, OH 43560-2771
(419) 843-7996
(419) 841-7704
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35070122B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000581575
ANTHEM
—
01
—
02223
PARAMOUNT
—
05
—
0283214
—
OH
05
—
1457348799
—
MI
01
—
5949150
AETNA
—
01
—
P00659820
RAILRAOD MEDICARE
—
Enumeration date
10/03/2005
Last updated
11/03/2023
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