Organization
MICHAEL J BURNS MD INC
Active
Organization
MICHAEL J BURNS MD INC
Active
Other names
MICHAEL J BURNS MD INC
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET RASKOWSKY (MANAGER)
(415) 491-1210
Entity
Organization
Contact information
Practice address
1777 BOTELHO DR STE 110, WALNUT CREEK, CA 94596-5083
(925) 934-3536
(925) 934-0672
Mailing address
9 EQUESTRIAN CT, NOVATO, CA 94945-2600
(415) 491-1210
(415) 491-4647
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
A117877
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A117877
LICENSE
CA
Enumeration date
09/06/2018
Last updated
09/06/2018
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