Individual
AMBERLY L BURGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5314 LINCOLNWAY E, MISHAWAKA, IN 46544-4249
(574) 256-9032
(574) 256-9049
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
01068286A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200983920
—
IN
01
—
P01472095
RR MEDICARE
IN
Enumeration date
12/20/2006
Last updated
03/31/2021
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