Individual
DR. TIMOTHY THOMAS BERTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
12217 CHAMPLIN DR, CHAMPLIN, MN 55316-1930
(763) 323-1492
Mailing address
12217 CHAMPLIN DR, CHAMPLIN, MN 55316-1930
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
2076
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116827400
—
MN
Enumeration date
06/15/2005
Last updated
07/08/2007
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