Individual
CLAIRE BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6191 EGYPT VALLEY CT NE, ADA, MI 49301-9659
(260) 450-3044
Mailing address
6191 EGYPT VALLEY CT NE, ADA, MI 49301-9659
(260) 450-3044
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
C 145 119 549 202
MI
Other
Enumeration date
11/07/2015
Last updated
11/07/2015
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