Individual
DR. AMY C BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3007 HARBOR LN N, PLYMOUTH, MN 55447-5103
(952) 993-8900
Mailing address
3800 PARK NICOLLET BLVD, CREDENTIALING, ST LOUIS PARK, MN 55416-2527
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
43111
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216938000
—
MN
Enumeration date
12/29/2005
Last updated
03/01/2012
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