Individual
JACK BURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1048 N MONROE ST, MONROE, MI 48162-3113
(734) 241-1400
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501302987
MI
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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