Organization
R M BEREDO M D P L L C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROLANDO M. BEREDO M.D. (OWNER)
(517) 788-6336
Entity
Organization
Contact information
Practice address
426 N JACKSON ST, JACKSON, MI 49201-1235
(517) 788-6336
(517) 788-9035
Mailing address
426 N JACKSON ST, JACKSON, MI 49201-1235
(517) 788-6336
(517) 788-9035
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301060312
MI
Other
Enumeration date
08/19/2010
Last updated
09/21/2010
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