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Organization
MICHAEL P. BURK, D.P.M., PLLC
Active
Organization
MICHAEL P. BURK, D.P.M., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PATRICK BURK D.P.M. (OWNER)
(248) 476-1500
Entity
Organization
Contact information
Practice address
39555 W 10 MILE RD, SUITE 307, NOVI, MI 48375-2950
(248) 476-1500
(248) 476-0502
Mailing address
39555 W 10 MILE RD, SUITE 307, NOVI, MI 48375-2950
(248) 476-1500
(248) 476-0502
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001081
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4237912
—
MI
01
—
480034200
RAILROAD MEDICARE
MI
01
—
480F340830
BCBS
—
01
—
4856351730
BCBS
—
Enumeration date
05/17/2007
Last updated
03/31/2009
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