| Doctor Name: | DR. SETH RAYMOND BERNARD |
| NPI Number: | 1720047889 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | SB011003 |
| Business Practice Address: | 2284 S Ballenger Hwy Ste H Flint, MI - 485034653 |
| Business Phone Number: | 8102335211 |
| Business Fax Number: | 8102335740 |
| Mailing Address: | 2284 S Ballenger Hwy, Ste H FLINT |
| State: | MI |
| Postal Code: | 485034653 |
| Phone Number: | 8102335211 |
| Fax Number: | 8102335740 |
| NPI Enumeration Date: | 03/18/2006 |
| NPI Last Update Date: | 10/25/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | SB011003 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |