Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GAVEN A BERTRAM
Active Sole ProprietorGAVEN A BERTRAM is a 3104A0630X healthcare provider located in FLINT, Michigan. NPI 1740989573 is currently active in the NPPES registry. Verify at CMS.
3104A0630X · FLINT, MI
Registration Details
- NPI Number
- 1740989573
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 1, 2023 (3.4854280776858 yrs)
- Last Updated
- Mar 1, 2023
- Licenses
-
AS250414567AS250414567 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2444 OAKRIDGE DRFLINT, MI, 485076211Browse MI providers · Browse ZIP 48507
- Phone
- 8107669377
- Primary Specialty
-
3104A0630X
3104A0630X
- Additional Specialty
- 3104A0630X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.