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Individual

ELI M BURKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
515 22ND AVENUE, MONROE CLINIC, MONROE, WI 53566-1569
(608) 324-2222
(402) 483-5079
Mailing address
515 22ND AVE, MONROE, WI 53566-1569
(402) 483-4571
(402) 483-5079

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
67093-20
WI
207R00000X
Internal Medicine Physician
67093
WI
208M00000X
Hospitalist Physician
67093
WI

Other

Enumeration date
07/02/2014
Last updated
02/19/2024
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