Individual
DR. GERALD J BURKE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26771 W 12 MILE RD, STE 105, SOUTHFIELD, MI 48034-1539
(248) 352-8815
(248) 352-9157
Mailing address
26771 W 12 MILE RD, STE 105, SOUTHFIELD, MI 48034-1539
(248) 352-8815
(248) 352-9157
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301032148
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1481927
—
MI
Enumeration date
01/03/2006
Last updated
07/08/2007
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