Individual
RENEE BURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5249 E TERRACE DR, MADISON, WI 53718-8339
(608) 222-9777
Mailing address
1265 JOHN Q HAMMONS DR, MADISON, WI 53717-1941
(608) 251-4156
(608) 257-3842
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
39023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32596600
—
WI
Enumeration date
07/19/2006
Last updated
01/18/2017
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