Individual
MADISON LYNN BURGEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 E APPLE ST STE 5254, DAYTON, OH 45409-2939
(937) 208-4200
Mailing address
3170 KETTERING BLVD, BUILDING B 2ND FLOOR, MORAINE, OH 45439-1927
(937) 991-3188
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50.007509RX
OH
Other
Enumeration date
03/23/2022
Last updated
03/29/2022
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