Individual
BURKE JOHN-ERIK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 246-7095
(734) 246-8974
Mailing address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 246-7095
(734) 246-8974
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704208709
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704208709
MDCH/DCH
MI
Enumeration date
02/24/2011
Last updated
02/24/2011
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