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General NPI Number Information
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NPI Number | 1699721274
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Entity Type | Individual
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Provider Name | BRIAN WILLIAM BURKARDT DPM
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Gender | Male
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 8391 COMMERCE RD STE 102
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City | COMMERCE TOWNSHIP
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State | MI
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Zip | 48382-4489
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Country | US
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Telephone | 248-363-3777
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Fax | 248-363-3577
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Provider Business Mailing Address
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Address Line | 31017 JOHN R RD
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071-1907
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Country | US
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Telephone | 248-585-1177
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Fax | 248-585-0083
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | BB002128
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 5901002128
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License Number State | MI
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