Individual
MARY C BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11211 W LINCOLN AVE, LINCOLN AVENUE CLINIC, MILWAUKEE, WI 53227-1035
(414) 955-5900
(414) 327-1450
Mailing address
11211 W LINCOLN AVE, LINCOLN AVENUE CLINIC, MILWAUKEE, WI 53227-1035
(414) 955-5900
(414) 327-1450
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
52005
WI
207V00000X
Obstetrics & Gynecology Physician
MD22255
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508848250
—
WI
Enumeration date
11/17/2005
Last updated
08/15/2012
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