Individual
DR. TERRY A. BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
7433 ELMWOOD AVE, MIDDLETON, WI 53562-3105
(608) 831-7799
Mailing address
7433 ELMWOOD AVE, MIDDLETON, WI 53562-3105
(608) 831-7799
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5001767
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1008652
PHYSICIANS PLUS PROVIDER
WI
05
—
33360100
—
WI
01
—
513
ADP NUMBER
WI
Enumeration date
08/07/2006
Last updated
07/09/2007
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