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Individual
DR. MICHAEL PATRICK BURK
Active
Individual
DR. MICHAEL PATRICK BURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001081
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4237912
—
MI
01
—
48-5-63-5173-0
BLUE CROSS PROVIDER NUMBE
MI
01
—
480034200
RAILROAD MEDICARE
MI
01
—
5943716
AETNA PPO
MI
Enumeration date
06/26/2006
Last updated
04/28/2008
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