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NPI Code Detail

MEDICARE: KENNETH BURAN M.D.

MEDICARE: KENNETH BURAN M.D.
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
1207R00000XInternal Medicine Physician18203MS
2207RG0100XGastroenterology Physician10468AWY

General Provider Information

NPI Number : 1033129390
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNETH BURAN M.D.
Provider Business Mailing Address
First Line : 850 W BARAGA AVE STE 32
Second Line :
City : MARQUETTE
State : MI
Zip : 49855-4550
Country : US
Telephone Number : 906-449-3680
Fax Number : 833-916-2211
Provider Business Practice Location Address
First Line : 850 W BARAGA AVE STE 32
Second Line :
City : MARQUETTE
State : MI
Zip : 49855-4550
Country : US
Telephone Number : 906-449-3680
Fax Number : 833-916-2211
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2006
Last Update Date : 09/28/2022

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Directions to “ KENNETH BURAN M.D.” Practice Location

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