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Organization

L. MICHAEL BERTRAM OD PLLC

Active
Other names
Dr. L. Michael Bertram OD
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LOUIS MICHAEL BERTRAM OD (PRESIDENT)
(606) 796-3295
Entity
Organization

Contact information

Practice address
185 COMMERCIAL DR, VANCEBURG, KY 41179-6181
(606) 796-3295
(606) 796-9285
Mailing address
185 COMMERCIAL DR, VANCEBURG, KY 41179-6181
(606) 796-3295
(606) 796-9285

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1060DT
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
77010601
KY
Enumeration date
10/21/2008
Last updated
10/03/2013
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