Individual
SUSAN BERTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
251 KEISLER DR STE 101, CARY, NC 27518-7091
(919) 803-0813
Mailing address
11350 MCCORMICK RD, EXECUTIVE PLAZA 1, STE. 501, HUNT VALLEY, MD 21031
(703) 914-8000
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
5168
AK
208VP0000X
Pain Medicine Physician
5168
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0190956
WA DEPT OF L&I
AK
05
—
MD5212
—
AK
Enumeration date
08/29/2005
Last updated
07/26/2021
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