Individual
MITCHELL BERTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATR, ATC
Contact information
Practice address
2502 S ASHLAND AVE, GREEN BAY, WI 54304-5252
(651) 231-5573
Mailing address
1340 AVONDALE DR, GREEN BAY, WI 54313-5902
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2156-39
WI
2255A2300X
Athletic Trainer
2776
MN
Other
Enumeration date
05/15/2016
Last updated
05/21/2020
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