Individual
DR. BRADLEY GERARD BURKART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
BLDG 4 2, 30 NORTH 18TH AVENUE, STURGEON BAY, WI 54235-3207
(920) 743-6668
Mailing address
BLDG 4 2, 30 NORTH 18TH AVENUE, STURGEON BAY, WI 54235-3207
(920) 743-6668
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
747-025
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43223600
—
WI
01
—
P01633669
RAILROAD MEDICARE
WI
Enumeration date
04/11/2007
Last updated
06/16/2016
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