Individual
JOHN P. BURSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.
Contact information
Practice address
2550 UNIVERSITY AVE W, SUITE 229N, SAINT PAUL, MN 55114-1052
(651) 645-3115
(651) 645-2752
Mailing address
2550 UNIVERSITY AVE W, SUITE 229N, SAINT PAUL, MN 55114-1052
(651) 645-3115
(651) 645-2752
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
731
MN
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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