Individual
MR. NERIEL Y. BERNBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 W DUDLEY ST, MAUMEE, OH 43537
(419) 893-1971
(419) 893-2321
Mailing address
120 W DUDLEY ST, MAUMEE, OH 43537
(419) 893-1971
(419) 893-2321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38677
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0309428
—
OH
Enumeration date
09/20/2006
Last updated
07/08/2007
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