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Individual

DR. LAURA DAWN BERTRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
3519 GATEWAY DRIVE, EAU CLAIRE, WI 54701-8795
(715) 831-0955
(715) 831-0949
Mailing address
3519 GATEWAY DRIVE, EAU CLAIRE, WI 54701-8795
(715) 831-0955
(715) 831-0949

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3598012
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
38938500
WI
Enumeration date
10/02/2006
Last updated
07/08/2007
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