Individual
BERTRAM WILLMAN
Active
Individual
BERTRAM WILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME35802
CO
207LP2900X
Pain Medicine (Anesthesiology) Physician
DR.0035802
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001358027
—
CO
01
—
D4558
ANTHEM/BLUE CROSS
CO
Enumeration date
05/16/2006
Last updated
07/05/2016
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