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Individual

DR. IRVING D KERNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2632 S. MILFORD RD, HURON VALLEY PEDIATRICS, P.C., HIGHLAND, MI 48357
(248) 684-5510
Mailing address
1675 TREYBORNE CIR, COMMERCE TOWNSHIP, MI 48390-2832
(248) 684-5510

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
5101006147
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4108639
MI
Enumeration date
10/12/2006
Last updated
07/08/2007
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