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Individual

ALEXANDER BERTRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, LAT, ATC

Contact information

Practice address
1711 6TH ST S # 125, MOORHEAD, MN 56560-3438
(218) 477-2626
Mailing address
1711 6TH ST S # 125, MOORHEAD, MN 56560-3438

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
02/04/2019
Last updated
01/12/2023
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