R M Beredo M D P L L C

NPI #1912213604 in Jackson, Michigan

Provider Information

NPI Number: 1912213604
Entity Type: Organization
Organization Name: R M Beredo M D P L L C
Primary Specialty: Specialist
Enumeration Date: Aug 19, 2010
Last Updated: Sep 21, 2010

Practice Location

Address: 426 N JACKSON ST
City: Jackson
State: Michigan
ZIP Code: 49201-1235
Phone: (517) 788-6336

Authorized Official

Name: DR. ROLANDO M. BEREDO, M.D.
Title: OWNER
Phone: (517) 788-6336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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