Individual
RICHARD G BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4290 COPPER RIDGE DR STE 100A, TRAVERSE CITY, MI 49684-7207
(231) 642-2202
(231) 346-6029
Mailing address
4290 COPPER RIDGE DR STE 100A, TRAVERSE CITY, MI 49684-7207
(231) 642-2202
(231) 346-6029
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301056303
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
4310156303
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427039072
—
MI
Enumeration date
11/10/2005
Last updated
12/11/2025
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