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NPI Code Detail

MEDICARE: BRIAN F. BURKE M. D.

MEDICARE: BRIAN F. BURKE 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 Physician4301063959MI

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 : 1801888045
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN F. BURKE M. D.
Provider Business Mailing Address
First Line : 3537 W FRONT ST
Second Line : SUITE I
City : TRAVERSE CITY
State : MI
Zip : 49684-7943
Country : US
Telephone Number : 231-935-8950
Fax Number : 231-935-8868
Provider Business Practice Location Address
First Line : 3537 W FRONT ST
Second Line : SUITE I
City : TRAVERSE CITY
State : MI
Zip : 49684-7943
Country : US
Telephone Number : 231-935-8950
Fax Number : 231-935-8868
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 10/20/2011

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Directions to “ BRIAN F. BURKE M. D.” Practice Location

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