Individual
DAWN M BURGESS
Active
Individual
DAWN M BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
28159755A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000085654
INDIANA BLUE CROSS BLUE SHIELD
IN
01
—
000000085654
KENTUCKY BLUE CROSS BLUE SHIELD
KY
01
—
188985
HEALTHLINK PPO
KY
01
—
221001
WELBORN HEALTHCARE
IN
01
—
4116028
AETNA
IN
01
—
91107974
ILLINOIS BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/27/2008
Last updated
08/27/2008
Update your record
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