NPI 1003400383
Timothy D Bertram
Practice location
- Address
- 1173 S Packard Ave, Burton, MI 48509-2311
- Phone
- (810) 348-5923
- Fax
- (810) 462-1093
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1003400383
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 26 Feb 2021
- Record last updated
- 26 Feb 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.