Individual
BERTRAM WILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3030 N CIRCLE DR, STE 210, COLORADO SPRINGS, CO 80909-1180
(719) 228-9440
(719) 228-9061
Mailing address
DEPT # 1029, DENVER, CO 80263-0001
(352) 867-8898
(352) 732-6282
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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