Individual
DR. BERNARD D NOVELOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1575 CONCENTRIC BLVD STE 1, SAGINAW, MI 48604-9312
(989) 746-7500
Mailing address
1000 HOUGHTON AVE, SAGINAW, MI 48602-5303
(989) 746-7500
(989) 583-6915
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301076248
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164527446
GFC NPI #
MI
05
—
1740392190
—
MI
01
—
38-1870664
TAX ID
MI
Enumeration date
08/31/2006
Last updated
09/27/2023
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