Individual
MICHELLE MARIE BERTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
131 MEDICAL PARK RD STE 306, MOORESVILLE, NC 28117
(704) 660-2610
(704) 660-2611
Mailing address
131 MEDICAL PARK RD STE 306, MOORESVILLE, NC 28117-8525
(704) 660-2610
(704) 660-2611
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
200200644
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131HC
BC
NC
05
—
89131HC
—
NC
Enumeration date
12/09/2005
Last updated
09/08/2020
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