Individual
DOUGLAS EDWARD BERTRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
1628 WINNEBAGO ST APT 1, MADISON, WI 53704-5559
(608) 692-7785
Mailing address
1628 WINNEBAGO ST APT 1, MADISON, WI 53704-5559
(608) 692-7785
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
482-055
WI
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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