Mark E Bernthal, OD
NPI #1811991391 in St Clair Shores, Michigan
Provider Information
- NPI Number
- 1811991391
- Entity Type
- Individual
- Name
- Mark E Bernthal, OD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist
- Credential
- OD
- Enumeration Date
- Jun 13, 2005
- Last Updated
- Jun 11, 2008
Practice Location
- Address
- 21711 GREATER MACK AVE
- City
- St Clair Shores
- State
- Michigan
- ZIP Code
- 48080-2418
- Phone
- (586) 774-0393
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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