Individual
MRS. STACEY ELIZABETH BURMEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 RIDGE ST, SUITE 206, COUNCIL BLUFFS, IA 51503-4643
(712) 396-7460
(712) 396-7465
Mailing address
933 E PIERCE ST, SUITE 206, COUNCIL BLUFFS, IA 51503-4626
(712) 396-7460
(712) 396-7465
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34953
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025873100
—
NE
01
—
1588656003
WELLMARK
IA
05
—
1588656003
—
IA
Enumeration date
08/19/2005
Last updated
09/18/2013
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