Individual
BRANDON BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
111 LAKESIDE DR NE, GRAND RAPIDS, MI 49503-3811
(616) 588-1645
Mailing address
350 PINE AVE NW, GRAND RAPIDS, MI 49504-5427
(734) 765-9290
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501019213
MI
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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