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NPI Code Detail

MEDICARE: STEPHANIE BURGER D.O.

MEDICARE: STEPHANIE BURGER D.O.
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
1207P00000XEmergency Medicine PhysicianDOS-1797HI

General Provider Information

NPI Number : 1225397003
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE BURGER D.O.
Provider Business Mailing Address
First Line : 2300 OVERLOOK RD APT 602
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-2399
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 29000 CENTER RIDGE RD
Second Line :
City : WESTLAKE
State : OH
Zip : 44145-5293
Country : US
Telephone Number : 570-660-6760
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2012
Last Update Date : 01/20/2018

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