Individual
DR. HOWARD JAMES BURGESS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2035 ASHER CT, SUITE 200, EAST LANSING, MI 48823-8480
(517) 337-8580
(517) 337-8577
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
(517) 364-6253
(517) 364-6208
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301039524
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0803300091
BCBS INDIVIDUAL PIN
MI
05
—
3229818
—
MI
Enumeration date
09/13/2006
Last updated
07/08/2007
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