Individual
CARRIE DOROTHY BURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT
Contact information
Practice address
1550 HOBBS DR, DELAVAN, WI 53115-2027
(262) 740-4370
(262) 740-4379
Mailing address
1550 HOBBS DR, DELAVAN, WI 53115-2027
(262) 740-4370
(262) 740-4379
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
1641-39
WI
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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