Individual
LOWELL RAY BURSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2120 43RD ST SE, GRAND RAPIDS, MI 49508-3772
(616) 455-5443
Mailing address
2120 43RD ST SE, GRAND RAPIDS, MI 49508-3772
(616) 455-5443
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301035291
MI
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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