Search › Michigan › 2255A2300X

John Bernal, ATC

NPI 1306397864 · on the registry since 2016

Practice

Address
130 Fulton St W
#111
Grand Rapids, MI 49503
Phone
(616) 831-6422

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-10-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan