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Individual

JONATHAN M BERNSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3000 REGENCY CT STE 100, TOLEDO, OH 43623-3081
(800) 832-2015
(419) 885-8440
Mailing address
850 W NORTH ST STE 104, JACKSON, MI 49202-3196
(877) 852-8463
(517) 817-0144

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
4301061141
MI
207W00000X
Ophthalmology Physician
64990
OH
207WX0107X
Retina Specialist (Ophthalmology) Physician
4301061141
MI
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
64990
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000126978
ANTHEM BCBS
OH
01
180018195
RAILROAD MEDICARE
Enumeration date
06/16/2005
Last updated
07/21/2022
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