Organization
STEPHEN R. BURTON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE MARIE CASSADY (BILLING MANAGER)
(517) 394-6500
Entity
Organization
Contact information
Practice address
4169 LEGACY PKWY, LANSING, MI 48911-4200
(517) 393-4200
(517) 393-4202
Mailing address
4169 LEGACY PKWY, LANSING, MI 48911-4200
(517) 393-4200
(517) 393-4202
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
SB049511
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4673830
—
MI
Enumeration date
11/07/2007
Last updated
11/07/2007
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