Bertram, Riley S

Bertram, Riley S is an individual health care provider with primary practice located at 29792 Arden Dr , Grey Eagle MN 56336-4776. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Bertram, Riley S can be contacted via phone (612) 219-6180.

Contact Information

Primary practice address
29792 Arden Dr Grey Eagle MN 56336-4776
Phone: (612) 219-6180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 170 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 117 South Carolina

Profile Details

NPI number 1942815063
LBN Legal business name Bertram, Riley S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2020
Last updated Aug 18th, 2026 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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