Individual
MS. MICHELE HOSHIKO BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042.0012704
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003393102
MEDICARE PTAN LINKED TO CVMC-HOSP
VT
05
—
1021985
—
VT
Enumeration date
04/02/2010
Last updated
10/21/2013
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