Individual
DR. LOUIS MICHAEL BERTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
185 COMMERCIAL DR, VANCEBURG, KY 41179-6181
(606) 796-3295
(606) 796-9285
Mailing address
185 COMMERCIAL DR, VANCEBURG, KY 41179-6181
(606) 796-3295
(606) 796-9285
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1060DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77010601
—
KY
Enumeration date
08/23/2006
Last updated
10/01/2013
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