Individual
INNA BERTUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
25 JUNE ST, SANFORD, ME 04073-2621
(207) 324-4310
Mailing address
25 JUNE ST, SANFORD, ME 04073-2621
(207) 324-4310
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1790
ME
Other
Enumeration date
07/08/2006
Last updated
07/08/2007
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