NPI Details | |
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NPI | 1134319486 |
Gender | Male |
Enumeration Date | 08/01/2007 |
Last Updated | 03/08/2013 |
Entity Type | Individual |
Active | Over 10 years ago |
Practice Location | |
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715 HIGHWAY 45 BALDWYN MS, 38824-8591, US |
|
Phone | (662) 365-5610 |
Fax | (662) 365-5611 |
Business Location | |
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PO BOX 366 715 HWY 45 BALDWYN MS, 38824-0366, US |
|
Phone | (662) 365-5610 |
Fax | (662) 365-5611 |
Toxanomy | |
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Taxonomy Code | 225100000X |
License State | Mississippi |
License Number | PT2339 |
Remove 1134319486 NPI Number |
According to our database, Craig S Bertelsen PT, CERT MDT NPI is 1134319486, taxonomy code is 225100000X and license number is PT2339, license state is located at Mississippi. Craig S Bertelsen PT, CERT MDT physically located at 715 Highway 45, Baldwyn MS, 38824-8591. NPI Number Craig S Bertelsen PT, CERT MDT has the Individual type.
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1134319486 NPI number is provided on an as is basis without warranty of any kind. 1134319486 is maintained by the National Plan & Provider Enumeration System. The contents of Craig S Bertelsen PT, CERT MDT are for informational purposes only.
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