| NPI | 1902058126 |
|---|---|
| Former Legal Business Name | DR. L. MICHAEL BERTRAM OD |
| Entity Type | Organization |
| Authorized Contact | LOUIS MICHAEL BERTRAM President 606-796-3295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1060DT) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2013-10-03 |