Individual
ADAM BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(218) 670-0458
Mailing address
404 3RD ST NE, FULDA, MN 56131-1210
(218) 670-0458
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
202205024RN
OR
163WC1500X
Community Health Registered Nurse
202205024RN
OR
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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