Individual
DR. JEFF PHILIP BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4045 W ROYAL DR, TRAVERSE CITY, MI 49684-8965
(231) 935-0901
(231) 935-0308
Mailing address
929 WEST ST, GAYLORD, MI 49735-9309
(231) 675-6920
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501008037
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4491328
—
MI
05
—
4496647
—
MI
Enumeration date
08/15/2005
Last updated
06/01/2012
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