Organization
HUMBERTO BERNAL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUMBERTO GUILLERMO BERNAL MD (PRESIDENT)
(313) 336-7400
Entity
Organization
Contact information
Practice address
18100 OAKWOOD BLVD, SUITE 203, DEARBORN, MI 48124-4085
(313) 336-7400
(313) 336-6709
Mailing address
18100 OAKWOOD BLVD, SUITE 203, DEARBORN, MI 48124-4085
(313) 336-7400
(313) 336-6709
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301044715
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1608226311
BCBS
MI
05
—
3515265
—
MI
Enumeration date
09/19/2007
Last updated
05/01/2013
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