Individual
WALTER L BURGAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4024 MOUNT EATON RD, ORRVILLE, OH 44667-9024
(330) 603-8300
Mailing address
4024 MOUNT EATON RD, ORRVILLE, OH 44667-9024
(330) 603-8300
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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