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NPI Code Detail

MEDICARE: KAREN ANN BUREK NP

MEDICARE: KAREN ANN BUREK NP
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
1363L00000XNurse Practitioner4704133319MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134346216
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN ANN BUREK NP
Provider Business Mailing Address
First Line : 3621 S STATE ST
Second Line : 700 KMS PLACE
City : ANN ARBOR
State : MI
Zip : 48108
Country : US
Telephone Number : 734-936-2047
Fax Number :
Provider Business Practice Location Address
First Line : 1200 EARHART ROAD
Second Line :
City : ANN ARBOR
State : MI
Zip : 48105-2768
Country : US
Telephone Number : 734-769-0177
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2007
Last Update Date : 07/17/2015

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