Individual
CHARLES DAVID BERTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 PARK DR, STE GENEVIEVE, MO 63670-1566
(573) 883-7407
(573) 883-7537
Mailing address
402 S SILVER SPRINGS RD, CAPE GIRARDEAU, MO 63703-7536
(573) 332-2779
(573) 651-4345
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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