Individual
MR. MITCHELL R BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
1640 MEADOWLANE AVE, MOUNT PLEASANT, WI 53406-4634
(262) 344-4441
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
176150-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
176150-30
WISCONSIN DRL
WI
Enumeration date
05/21/2015
Last updated
05/21/2015
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