Individual
GRETCHEN MARIE BURRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1320 EM-32, GAYLORD, MI 49735
(989) 731-5092
(988) 688-6510
Mailing address
1320 EM-32, GAYLORD, MI 49735
(989) 731-5092
(988) 688-6510
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704191963
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4704191963
—
MI
Enumeration date
11/20/2017
Last updated
04/06/2023
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