Individual
JEFFREY SCOTT BURKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 THEDA CLARK MEDICAL PLZ, SUITE 400, NEENAH, WI 54956-2763
(920) 725-4527
(920) 725-0991
Mailing address
905 WINDWARD CT, NEENAH, WI 54956-4276
(920) 729-4773
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35305
WI
208600000X
Surgery Physician
74450
AZ
2086S0127X
Trauma Surgery Physician
35305
WI
2086S0129X
Vascular Surgery Physician
35305
WI
208C00000X
Colon & Rectal Surgery Physician
35305
WI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35305
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32014100
—
WI
Enumeration date
05/12/2006
Last updated
08/01/2025
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