Individual
DR. MARY ELIZABETH BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 N MAYFAIR RD, SUITE 220, WAUWATOSA, WI 53226-1415
(414) 475-9101
(414) 475-9203
Mailing address
2500 N MAYFAIR RD, SUITE 220, WAUWATOSA, WI 53226-1409
(414) 475-9101
(414) 475-9203
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
63139
WI
207R00000X
Internal Medicine Physician
4301092230
MI
Other
Enumeration date
06/21/2008
Last updated
01/28/2015
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