Individual
SCOTT BERTRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1769 POPPY RD, SAINT CLOUD, MN 56303-0634
(320) 266-1977
Mailing address
1769 POPPY RD, SAINT CLOUD, MN 56303-0634
(320) 266-1977
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100355
MN
Other
Enumeration date
11/26/2013
Last updated
01/30/2014
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