Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 264243 | NY |
N | 208600000X | Surgeon | 264243 | NY |
N | 2086S0105X | Surgery of the Hand | 35054145 | OH |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 35054145 | OH |
NPI | 1215967732 |
---|---|
Provider Name | Steven L Bernard |
First Address | Cleveland, OH 44195-0001 |
Second Address | Cleveland, OH 44195-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 04/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0701744 | (05) | OH |
C03401 | (02) | OH |