Individual
DR. JASON RICHARD BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1155 N MAYFAIR RD, TOSA CENTER 3RD FLOOR, MILWAUKEE, WI 53226-3462
(414) 955-8990
(414) 955-6299
Mailing address
1155 N MAYFAIR RD, TOSA CENTER 3RD FLOOR, MILWAUKEE, WI 53226-3462
(414) 955-8990
(414) 955-6299
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
60885-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033409982
—
WI
Enumeration date
04/12/2011
Last updated
06/08/2021
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