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Individual

STUART RANDALL BERTSCH

Active
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Individual

STUART RANDALL BERTSCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35.121380
OH
207L00000X
Anesthesiology Physician
R2149
KY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0086018
OH
05
201186760
IN
05
7100246420
KY
Enumeration date
03/24/2009
Last updated
05/26/2017
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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