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Individual

DR. MARC A BURRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
W231N1440 CORPORATE CT, WAUKESHA, WI 53186-1303
(262) 896-6000
Mailing address
PO BOX 73975, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
67253-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000089397
WI
Enumeration date
06/24/2010
Last updated
04/03/2025
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