Search › Michigan › 3104A0630X

Gaven Bertram

NPI 1740989573 · on the registry since 2023 · sole proprietor

Practice

Address
2444 Oakridge Dr
Flint, MI 48507
Phone
(810) 766-9377
Organisation at this address
Oakridge Specialized Residential
Inferred from a shared address, not stated in the registry.
Clinicians at this address
53

Registry record

Primary taxonomy
3104A0630X
3104A0630X
Also registered as
3104A0625X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan