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Contact Information

SPENCER T BERTRAM, MD
555 W WACKERLY ST
MIDLAND, MI48640-4722
 Phone: 989-832-4202
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for SPENCER T BERTRAM · (Male)

NPI Number 1205876513
Status Active
Credentials MD
Entity Individual
Enumeration date 06/07/2006
Last updated 01/05/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301085355
  • TX License # Q5156
  • MI Medicaid 4922435-10
  • Other 1338919 AETNA
  • Other P00379788 RAILROAD MEDICARE
  • MI Other 502512712 BCBSM
  • MI Other 156785 GREAT LAKES HEALTH PLAN
  • MI Other 01005987 HEALTH PLUS
  • MI Other 1023407 MCLAREN HEALTH PLAN
Hospital affiliation(s)
  • MIDMICHIGAN MEDICAL CENTER-CLARE - (Acute Care)
    703 N MCEWAN ST
    CLARE, MI 48617
  • MIDMICHIGAN MEDICAL CENTER-GRATIOT - (Acute Care)
    300 E WARWICK DR
    ALMA, MI 48801
  • MIDMICHIGAN MEDICAL CENTER-MIDLAND - (Acute Care)
    4000 WELLNESS DRIVE
    MIDLAND, MI 48670
  • WEST BRANCH REGIONAL MEDICAL CENTER - (Acute Care)
    2463 SOUTH M-30
    WEST BRANCH, MI 48661
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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