Individual
DR. MICHAEL G. BURRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
28701 PLYMOUTH RD, LIVONIA, MI 48150-2335
(734) 427-9900
(734) 427-8963
Mailing address
28701 PLYMOUTH RD, LIVONIA, MI 48150-2335
(734) 427-9900
(734) 427-8963
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101013199
MI
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
5101013199
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4131520
—
MI
01
—
5101013199
STATE LICENSE NUMBER
MI
01
—
5820645
BCBS PROVIDER ID
MI
01
—
C6744
MCARE PROVIDER ID
MI
01
—
G98197
HAP PROVIDER ID
MI
01
—
P103272
BCN PROVIDER ID
MI
Enumeration date
06/22/2005
Last updated
09/11/2025
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