Individual
JOHN HOWARD BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 526-8000
(418) 520-2846
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35-06-0902-B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0945866
—
OH
01
—
35060902B
STATE LICENSE
OH
Enumeration date
10/19/2006
Last updated
03/26/2014
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