Individual
MR. MICHAEL F. BERTAGNOLLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 522-1759
Mailing address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(406) 522-1759
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3356 PHA
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3356PHA
LICENSE NUMBER
MT
Enumeration date
05/25/2007
Last updated
07/08/2007
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