Individual
MICHEL BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
904 5TH AVENUE NE, JAMESTOWN, ND 58401-3437
(701) 253-4000
(701) 253-4040
Mailing address
904 5TH AVENUE NE, JAMESTOWN, ND 58401-3437
(701) 253-4000
(701) 253-4040
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1110
ND
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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