Individual
BURKE S RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1222 SHOREWOOD BLVD, MADISON, WI 53705-2266
(608) 866-6106
Mailing address
1222 SHOREWOOD BLVD, MADISON, WI 53705-2266
(608) 866-6106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39204-20
WI
207Y00000X
Otolaryngology Physician
39204
WI
Other
Enumeration date
04/12/2006
Last updated
11/07/2023
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