Individual
DR. DAVID FOWLER BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
71519
WI
207Q00000X
Family Medicine Physician
0101048032
VA
208D00000X
General Practice Physician
0101048032
VA
Other
Enumeration date
02/20/2012
Last updated
05/05/2020
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