Doctor Name: | DR. BERNARD N. STULBERG |
NPI Number: | 1538120738 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 35-04-5350 |
Business Practice Address: | 33001 Solon Rd Suite 112 Solon, OH - 441392839 |
Business Phone Number: | 4403497137 |
Business Fax Number: | 4409141030 |
Mailing Address: | Po Box 932127, CLEVELAND |
State: | OH |
Postal Code: | 441930008 |
Phone Number: | 2164722730 |
Fax Number: | 2164722740 |
NPI Enumeration Date: | 03/29/2006 |
NPI Last Update Date: | 02/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 35-04-5350 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |