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NPI Code Detail

MEDICARE: MICHAEL J BURGGRAAF PT MS

MEDICARE:   MICHAEL J BURGGRAAF  PT MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist03285IA
2225100000XPhysical Therapist3285IA

General Provider Information

NPI Number : 1003818691
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL J BURGGRAAF PT MS
Provider Business Mailing Address
First Line : 2001 WESTOWN PKWY
Second Line : STE 107
City : WEST DES MOINES
State : IA
Zip : 50265-1540
Country : US
Telephone Number : 515-440-3439
Fax Number : 515-440-3832
Provider Business Practice Location Address
First Line : 516 NILE KINNICK DR. SOUTH
Second Line : STE B
City : ADEL
State : IA
Zip : 50003-1831
Country : US
Telephone Number : 515-993-5599
Fax Number : 515-993-1964
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 09/28/2010

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Directions to “ MICHAEL J BURGGRAAF PT MS” Practice Location

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