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Individual

BURT HUMBURG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 4TH ST SW, MASON CITY, IA 50401-2800
(641) 428-7000
(641) 428-6383
Mailing address
1000 4TH ST SW, MASON CITY, IA 50401-2800
(641) 428-7000
(641) 428-6383

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
39580
IA
207R00000X
Internal Medicine Physician
Primary
MD431085
PA
208D00000X
General Practice Physician
0431207
KS
208D00000X
General Practice Physician
47001
MN
208M00000X
Hospitalist Physician
MD431085
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100598
GEISINGER HEALTH PLAN
PA
01
1570857
GATEWAY-WMG
PA
01
20074392
AMERIHEALTH MERCY-WMG
PA
01
2024764
HIGHMARK BLUE SHIELD
PA
01
212420
JOHNS HOPKINS
PA
01
239828
UNISON-WMG
PA
01
263661
UNISON-WMG GBH
PA
01
50077200
CAPITAL BLUE CROSS-WMG
PA
01
50084012
CAPITAL BLUE CROSS-WMG GBH
PA
01
930841
CAREFIRST MD BCBS
MD
01
9989169
AETNA
PA
Enumeration date
04/19/2007
Last updated
01/22/2013
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