Individual
DR. MICHAEL PATRICK BURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
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
—
48-5-63-5173-0
BLUE CROSS PROVIDER NUMBE
MI
01
—
480034200
RAILROAD MEDICARE
MI
01
—
5943716
AETNA PPO
MI
Enumeration date
06/26/2006
Last updated
04/28/2008
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