Individual
NICOLE BERTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
11050 PARKVIEW CIRCLE DR STE 1D, FORT WAYNE, IN 46845-1739
(260) 266-6949
Mailing address
11050 PARKVIEW CIRCLE DR STE 1D, FORT WAYNE, IN 46845-1739
(260) 266-6949
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
1018
MN
170300000X
Genetic Counselor (M.S.)
Primary
74000231A
IN
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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