Individual
HALLE ELIZABETH KERSHISNIK BURLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-7200
Mailing address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/08/2020
Last updated
04/22/2022
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