Individual
GREG BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2116 CRAIG ROAD, EAU CLAIRE, WI 54701
(715) 858-4646
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
28934
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32025300
—
WI
Enumeration date
08/31/2006
Last updated
11/04/2022
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